Provider Demographics
NPI:1114719358
Name:KHAMIS, HODA AHMED (DDS)
Entity type:Individual
Prefix:DR
First Name:HODA
Middle Name:AHMED
Last Name:KHAMIS
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 1:4595 MEEKISON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3038
Mailing Address - Country:US
Mailing Address - Phone:614-598-8816
Mailing Address - Fax:
Practice Address - Street 1:3421 SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1292
Practice Address - Country:US
Practice Address - Phone:614-272-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0279871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice