Provider Demographics
NPI:1265818900
Name:AHMED, DANYAL (DDS)
Entity Type:Individual
Prefix:
First Name:DANYAL
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 1:13816 NARCOOSSEE RD
Mailing Address - Street 2:B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6960
Mailing Address - Country:US
Mailing Address - Phone:407-985-4401
Mailing Address - Fax:407-704-7607
Practice Address - Street 1:13816 NARCOOSSEE RD
Practice Address - Street 2:B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6960
Practice Address - Country:US
Practice Address - Phone:407-985-4401
Practice Address - Fax:407-704-7607
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21511122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist