Provider Demographics
NPI:1922343896
Name:LAKHANI, EJAZ AHMED (DDS)
Entity Type:Individual
Prefix:
First Name:EJAZ
Middle Name:AHMED
Last Name:LAKHANI
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 1:11907 MONTGOMERY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249
Mailing Address - Country:US
Mailing Address - Phone:513-697-1211
Mailing Address - Fax:573-697-1214
Practice Address - Street 1:11907 MONTGOMERY RD
Practice Address - Street 2:SUITE B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249
Practice Address - Country:US
Practice Address - Phone:513-697-1211
Practice Address - Fax:573-697-1214
Is Sole Proprietor?:No
Enumeration Date:2012-12-04
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0238581223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice