Imtiaz, Umar M
Imtiaz, Umar M is an sole proprietor health care provider with primary practice located at 23374 W Yuma Rd Ste 102 , Buckeye AZ 85326-3120. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Imtiaz, Umar M can be contacted via phone (978) 328-2886.Contact Information
Primary practice address
23374 W Yuma Rd Ste 102
Buckeye AZ 85326-3120
Phone: (978) 328-2886
Fax: (623) 444-6745
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 051498 | New York |
Dental Providers / Pediatric Dentistry | 1223P0221X | 7256 | Arizona |
Profile Details
NPI number | 1871595983 |
---|---|
LBN Legal business name | Imtiaz, Umar M |
Credentials | D.D.S., M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2005 |
Last updated | Jul 9th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871595983 | NPPES |
Arizona | MEDICAID | 225122 |
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