Provider Demographics
NPI:1750493045
Name:SHEIKH, AMJAD A (DDS)
Entity type:Individual
Prefix:DR
First Name:AMJAD
Middle Name:A
Last Name:SHEIKH
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 1:7008 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-5359
Mailing Address - Country:US
Mailing Address - Phone:713-674-0811
Mailing Address - Fax:713-671-9221
Practice Address - Street 1:7008 LYONS AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-5359
Practice Address - Country:US
Practice Address - Phone:713-674-0811
Practice Address - Fax:713-671-9221
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210471223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161328301Medicaid