DR. AMJAD ALDALLAL (NPI# 1609013481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609013481 |
Entity Type | Individual |
Full Name | DR. AMJAD ALDALLAL |
Credential | DDS |
Practice Address |
3900 Crosby Dr Apt 2212 Lexington KY 40515-1808 |
Practice Telephone | 7083693356 |
Mailing Telephone | 7083693356 |
Enumeration Date | 2009-01-15 |
Last Update Date | 2009-01-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
8564 | MA | Dental Providers |
Street Address |
3900 CROSBY DR APT 2212 |
City | LEXINGTON |
State | KY |
Zip Code | 40515-1808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730699620 | Cassandra Grace Reynolds | Occupational Therapy Assistant | 3900 Crosby Dr Apt 102, Lexington, KY 40515 | 2017-10-04 |
1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
1043760465 | Mary Lauren Elizabeth Willis | Pharmacist | 4251 Mooncoin Way, Lexington, KY 40515 | 2016-10-10 |
1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
1528480340 | Frances Ann Cook | Psychologist | 4105 Heartwood Rd, Lexington, KY 40515 | 2014-01-14 |
1245574532 | Patricia H Woodruff | Nurse Practitioner | 3030 Brookmonte Ln, Lexington, KY 40515 | 2012-11-27 |
1225381064 | Tiffany Kruger | Physical Therapist | 1092 Duval St Ste 210, Lexington, KY 40515 | 2012-10-17 |
1356698203 | Jessika Cordell Vance-morgan | Behavioral Analyst | 945 Darda Ct, Lexington, KY 40515 | 2012-08-09 |
1285915363 | Southern Office Solutions | Specialist | 5060 Ivybridge Dr., Lexington, KY 40515 | 2011-09-02 |
1578794426 | Emilie Carter | Social Worker | 1096 Duval St Ste 140, Lexington, KY 40515 | 2009-07-27 |
Find all providers in zip 40515 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
1811462336 | Lexington Periodontics and Implant Dentistry | Dentist | 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125 | 2018-10-11 |
1326285883 | Jeff Dickson | Dentist | 249 Greenbriar Rd, Lexington, KY 40503-4020 | 2009-01-20 |
1790977668 | Ward Thomas Piepgrass | Dentist | 3181 Beaumont Centre Cir, Lexington, KY 40513-1836 | 2007-08-15 |
1023130275 | Walter Neal Shepherd | Dentist | 3285 Blazer Parkway, Suite 110, Lexington, KY 40509 | 2007-04-06 |
1346385010 | Paul Armstrong Jr. | Dentist | 811 Corporate Dr, 302, Lexington, KY 40503-5407 | 2007-02-21 |
1205927696 | Gregory Shawn Vance | Dentist | 3285 Blazer Pkwy, Suite 210, Lexington, KY 40509-2119 | 2006-09-28 |
1962511832 | Garnett C. Brown IIi | Dentist | 1001 Monarch St Ste 200, Lexington, KY 40513-1875 | 2006-08-30 |
1053427864 | James B Laney | Dentist | 1356a Northlake Drive, Lexington, SC 29072 | 2006-08-22 |
Find all providers in LEXINGTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.