Provider Demographics
NPI:1821321621
Name:AFZAL, AFSHEEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:AFSHEEN
Middle Name:
Last Name:AFZAL
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 1:230 E 10TH ST
Mailing Address - Street 2:STE 106
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5784
Mailing Address - Country:US
Mailing Address - Phone:256-741-7340
Mailing Address - Fax:256-241-1698
Practice Address - Street 1:230 E 10TH ST
Practice Address - Street 2:STE 106
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5784
Practice Address - Country:US
Practice Address - Phone:256-741-7340
Practice Address - Fax:256-241-1698
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL54141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice