Ahmed, Fawaz M

Ahmed, Fawaz M is an individual health care provider with primary practice located at 32905 W 12 Mile Rd Ste 420 , Farmington Hills MI 48334-3346. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ahmed, Fawaz M can be contacted via phone (248) 553-4740.

Contact Information

Primary practice address
32905 W 12 Mile Rd Ste 420 Farmington Hills MI 48334-3346
Phone: (248) 553-4740
Fax: (248) 553-0645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901018455 Michigan

Profile Details

NPI number 1609903806
LBN Legal business name Ahmed, Fawaz M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Dec 20th, 2010 - about 15 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 1609903806 NPPES
Michigan MEDICAID 4612512

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