Provider Demographics
NPI:1831599760
Name:AHMED, SUMITHA (RDH, BDS, MS)
Entity type:Individual
Prefix:
First Name:SUMITHA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:RDH, BDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 BRAUER HALL CB 7450 DEPT OPERATIVE DENTISTRY
Mailing Address - Street 2:UNC SCHOOL OF DENTISTRY
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:433 BRAUER HALL CB 7450 DEPT OPERATIVE DENTISTRY
Practice Address - Street 2:UNC SCHOOL OF DENTISTRY
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-537-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0143122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist