MEDICARE: DR. AISHA AKHTAR D.D.S

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	38049	TX
2	122300000X	Dentist	057687	NY

General Provider Information

NPI Number	:	1598163974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AISHA AKHTAR D.D.S

Provider Business Mailing Address
First Line	:	1601 E DEBBIE LN APT 3211
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-3697
Country	:	US
Telephone Number	:	631-748-1239
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 ELDORADO PKWY STE 100
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-7508
Country	:	US
Telephone Number	:	469-907-5008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2014
Last Update Date	:	03/23/2026

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