Provider Demographics
NPI:1467896134
Name:NAZIR AHMAD DDS II PA
Entity Type:Organization
Organization Name:NAZIR AHMAD DDS II PA
Other - Org Name:CAPITAL ORAL AND FACIAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-322-4500
Mailing Address - Street 1:100 HYANNIS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8327
Mailing Address - Country:US
Mailing Address - Phone:919-322-4500
Mailing Address - Fax:919-882-8545
Practice Address - Street 1:100 HYANNIS DR
Practice Address - Street 2:SUITE #101
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8327
Practice Address - Country:US
Practice Address - Phone:919-322-4500
Practice Address - Fax:919-882-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC85641223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty