Provider Demographics
NPI:1093971632
Name:AHMED, BILAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BILAL
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8240 ARBOR SQUARE DR STE 2020
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8089
Mailing Address - Country:US
Mailing Address - Phone:513-716-5731
Mailing Address - Fax:
Practice Address - Street 1:8240 ARBOR SQUARE DR STE 2020
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8089
Practice Address - Country:US
Practice Address - Phone:513-716-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300256571223G0001X
MADN18557441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019027783Medicaid