Provider Demographics
NPI:1437272366
Name:AMERICAN DENTAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:AMERICAN DENTAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHJABEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHIRSHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:417-631-6512
Mailing Address - Street 1:2125 W KINGSLEY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5449
Mailing Address - Country:US
Mailing Address - Phone:417-631-6512
Mailing Address - Fax:
Practice Address - Street 1:2125 W KINGSLEY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5449
Practice Address - Country:US
Practice Address - Phone:417-631-6512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-07
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty