Provider Demographics
NPI:1457456626
Name:JAFFER, MUHAMMAD AMIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:AMIN
Last Name:JAFFER
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 1:2301 PLATT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5155
Mailing Address - Country:US
Mailing Address - Phone:734-975-0500
Mailing Address - Fax:
Practice Address - Street 1:2301 PLATT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5155
Practice Address - Country:US
Practice Address - Phone:734-975-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010171941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4638303Medicaid