Provider Demographics
NPI:1346556073
Name:AHMAD, AMEERA Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMEERA
Middle Name:Y
Last Name:AHMAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 NORTHCHASE PKWY SE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-6405
Mailing Address - Country:US
Mailing Address - Phone:678-904-5665
Mailing Address - Fax:
Practice Address - Street 1:5900 E VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 70
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2473
Practice Address - Country:US
Practice Address - Phone:757-466-3622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014123171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice