Provider Demographics
NPI:1215042304
Name:ZAND, AHMAD SHAUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:SHAUN
Last Name:ZAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:AHMAD
Other - Middle Name:REZA
Other - Last Name:ZAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:702 W LAKE LANSING RD
Mailing Address - Street 2:
Mailing Address - City:E LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823
Mailing Address - Country:US
Mailing Address - Phone:517-394-5181
Mailing Address - Fax:517-394-6764
Practice Address - Street 1:702 W LAKE LANSING RD
Practice Address - Street 2:
Practice Address - City:E LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823
Practice Address - Country:US
Practice Address - Phone:517-394-5181
Practice Address - Fax:517-394-6764
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI17374122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist