Healthcare Provider Details

I. General information

NPI: 1144158031
Provider Name (Legal Business Name): DR. ZAIN U AHMED
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 PUTNEY RD
BRATTLEBORO VT
05301-9048
US

IV. Provider business mailing address

927 PUTNEY RD
BRATTLEBORO VT
05301-9048
US

V. Phone/Fax

Practice location:
  • Phone: 802-775-1170
  • Fax:
Mailing address:
  • Phone: 802-775-1170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number016.0134440
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: