MEDICARE: ASPEN HILL IMPLANT & FAMILY DENTISTRY, P. C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11398	MD

General Provider Information

NPI Number	:	1063655256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPEN HILL IMPLANT & FAMILY DENTISTRY, P. C.

Provider Business Mailing Address
First Line	:	4110 ASPEN HILL RD STE 301
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20853-2853
Country	:	US
Telephone Number	:	301-871-5830
Fax Number	:	301-871-7519

Provider Business Practice Location Address
First Line	:	1401 MERCANTILE LN STE 583
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-4321
Country	:	US
Telephone Number	:	301-773-4177
Fax Number	:	301-773-9626

Authorized Official
Title or Position	:	DENTIS
Name	:	DR. ZIA AHMED
Credential	:	D.D.S
Telephone Number	:	301-871-5830

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	11/20/2024

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