Ahmad, Natasha Selene

Ahmad, Natasha Selene is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2315. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ahmad, Natasha Selene can be contacted via phone (860) 892-7042.

Contact Information

Primary practice address
47 Town St Norwich CT 06360-2315
Phone: (860) 892-7042
Fax: (860) 892-7043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 006720 Connecticut

Profile Details

NPI number 1669707410
LBN Legal business name Ahmad, Natasha Selene
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2009
Last updated Oct 13th, 2009 - about 16 years 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 1669707410 NPPES
Connecticut MEDICAID 004236106

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