Provider Demographics
NPI:1003421330
Name:ASPEN HILL IMPLANT & FAMILY DENTISTRY, P.C
Entity Type:Organization
Organization Name:ASPEN HILL IMPLANT & FAMILY DENTISTRY, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-871-5830
Mailing Address - Street 1:4110 ASPEN HILL RD STE 301
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2853
Mailing Address - Country:US
Mailing Address - Phone:301-871-5830
Mailing Address - Fax:301-871-7519
Practice Address - Street 1:1401 MERCANTILE LN # 583
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4301
Practice Address - Country:US
Practice Address - Phone:301-773-4177
Practice Address - Fax:301-773-9626
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPEN HILL IMPLANT & FAMILY DENTISTRY,P.C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty