Healthcare Provider Details

I. General information

NPI: 1851924633
Provider Name (Legal Business Name): AFREEN AISHA ANSARI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6820 FM 2920 STE 190
SPRING TX
77379
US

IV. Provider business mailing address

6820 FM 2920 STE 190
SPRING TX
77379
US

V. Phone/Fax

Practice location:
  • Phone: 346-298-7679
  • Fax:
Mailing address:
  • Phone: 832-312-1794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number36900
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: