Provider Demographics
NPI:1902056724
Name:AHMAD-MAJEED, AQSA I (DDS)
Entity Type:Individual
Prefix:DR
First Name:AQSA
Middle Name:I
Last Name:AHMAD-MAJEED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CHASSELLE LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7332
Mailing Address - Country:US
Mailing Address - Phone:314-439-9881
Mailing Address - Fax:
Practice Address - Street 1:215 CHASSELLE LN
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7332
Practice Address - Country:US
Practice Address - Phone:314-439-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004034574122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist