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NPI Code Detail

MEDICARE: DR. ADNAN ISMAIL ALAMDI SR. DDS

MEDICARE: DR. ADNAN ISMAIL ALAMDI SR. DDS
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
1122300000XDentist2901021157MI

General Provider Information

NPI Number : 1659798239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADNAN ISMAIL ALAMDI SR. DDS
Provider Business Mailing Address
First Line : 350 N CLARK ST
Second Line : 6TH FLOOR CHICAGO
City : CHICAGO
State : IL
Zip : 60654-4712
Country : US
Telephone Number : 313-522-3015
Fax Number :
Provider Business Practice Location Address
First Line : 2501 W PIERSON RD
Second Line :
City : FLINT
State : MI
Zip : 48504-6802
Country : US
Telephone Number : 313-522-3015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2014
Last Update Date : 03/21/2014

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