Provider Demographics
NPI:1982840948
Name:NORTH SPRING DENTAL AFSHAN AHMED DDS, INC.
Entity type:Organization
Organization Name:NORTH SPRING DENTAL AFSHAN AHMED DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSHAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-399-3800
Mailing Address - Street 1:4950 MIDDLE URBANA RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-6076
Mailing Address - Country:US
Mailing Address - Phone:937-399-3800
Mailing Address - Fax:
Practice Address - Street 1:4950 MIDDLE URBANA RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-6076
Practice Address - Country:US
Practice Address - Phone:937-399-3800
Practice Address - Fax:937-399-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30021615122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty