Provider Demographics
NPI:1164046819
Name:AMJED, JUWERIA (DMD)
Entity Type:Individual
Prefix:
First Name:JUWERIA
Middle Name:
Last Name:AMJED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8114 WINTER CIR
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-4505
Mailing Address - Country:US
Mailing Address - Phone:630-501-5638
Mailing Address - Fax:
Practice Address - Street 1:4015 PLAINFIELD NAPERVILLE RD STE 106
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4239
Practice Address - Country:US
Practice Address - Phone:630-326-7056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019032584122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist