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NPI Code Detail

MEDICARE: AHMAD E.ASBITA AHMIDA BDS

MEDICARE: AHMAD E.ASBITA AHMIDA BDS
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
1390200000XStudent in an Organized Health Care Education/Training Program12492CT
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry38771TX

General Provider Information

NPI Number : 1952754467
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD E.ASBITA AHMIDA BDS
Provider Business Mailing Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-2000
Fax Number :
Provider Business Practice Location Address
First Line : 9205 EAGLE DR STE 100
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-5620
Country : US
Telephone Number : 281-241-4249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2016
Last Update Date : 07/17/2025

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