Provider Demographics
NPI:1225196082
Name:ANSARI, FAIZ AHMED (DDS)
Entity Type:Individual
Prefix:
First Name:FAIZ
Middle Name:AHMED
Last Name:ANSARI
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 1:571 BELDEN ST # B
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1307
Mailing Address - Country:US
Mailing Address - Phone:415-310-7490
Mailing Address - Fax:
Practice Address - Street 1:1229 N. MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906
Practice Address - Country:US
Practice Address - Phone:831-442-8000
Practice Address - Fax:831-444-6847
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD492701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice