Provider Demographics
NPI:1083100101
Name:AHIR DENTAL PLLC
Entity Type:Organization
Organization Name:AHIR DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DHIREN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-730-3228
Mailing Address - Street 1:620 N COPPELL RD APT 802
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2046
Mailing Address - Country:US
Mailing Address - Phone:570-730-3228
Mailing Address - Fax:
Practice Address - Street 1:3220 TEASLEY LN, SUITE#100
Practice Address - Street 2:
Practice Address - City:DENTION
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-441-5070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty