Provider Demographics
NPI:1790857084
Name:SULTAN, AFSHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AFSHAN
Middle Name:
Last Name:SULTAN
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 1:1021 HILL RD N
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8666
Mailing Address - Country:US
Mailing Address - Phone:614-694-0320
Mailing Address - Fax:614-694-0328
Practice Address - Street 1:1021 HILL RD N
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8666
Practice Address - Country:US
Practice Address - Phone:614-694-0320
Practice Address - Fax:614-694-0328
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0221081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice