Provider Demographics
NPI:1720410640
Name:AJMERA, NEHA M (DMD)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:M
Last Name:AJMERA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1494 MAXWELL CT
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4877
Mailing Address - Country:US
Mailing Address - Phone:267-664-8070
Mailing Address - Fax:
Practice Address - Street 1:1494 MAXWELL CT
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4877
Practice Address - Country:US
Practice Address - Phone:267-664-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0395661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice