Ahghar, Keon J

Ahghar, Keon J is an individual health care provider with primary practice located at 824 N Main St , Roswell NM 88201-4969. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ahghar, Keon J can be contacted via phone (575) 622-4455.

Contact Information

Primary practice address
824 N Main St Roswell NM 88201-4969
Phone: (575) 622-4455
Fax: (575) 624-2556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD4275 New Mexico
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DD4275 New Mexico
Dental Providers / Dentist 122300000X DD4275 New Mexico

Profile Details

NPI number 1629497086
LBN Legal business name Ahghar, Keon J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Apr 11th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629497086 NPPES
New Mexico MEDICAID 01350731

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