DR. AHMAD DEEBAJAH - NPI NUMBER 1114210002

Summary

Provider Name: DR. AHMAD DEEBAJAH

NPI Number: 1114210002

Clasification: Dentist (122300000X)

Address:
3144 JOHN R RD
SUITE 100
TROY, MI
ZIP 48083

Phone Number: (248) 510-1100



Detailed Information

DR. Ahmad Deebajah is a dentist in Troy, MI. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. The assigned NPI number for this provider is 1114210002 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

3144 JOHN R RD
SUITE 100
TROY, MI
ZIP 48083-936
Phone: (248) 510-1100
Fax: (248) 251-0073

The enumeration date for this NPI number is 5/25/2011 and was last updated on 2/29/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 122300000X Dentist 2901020359 MI Yes

NPI Record

No. Field Name Field Value
1 NPI 1114210002
2 Entity Type Code 1
3 Provider Last Name Legal Name DEEBAJAH
4 Provider First Name AHMAD
5 Provider Name Prefix Text DR.
6 Provider First Line Business Practice Location Address 3144 JOHN R RD
7 Provider Second Line Business Practice Location Address SUITE 100
8 Provider Business Practice Location Address City Name TROY
9 Provider Business Practice Location Address State Name MI
10 Provider Business Practice Location Address Postal Code 480835936
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2485101100
13 Provider Business Practice Location Address Fax Number 2482510073
14 Provider Enumeration Date 5/25/2011
15 Last Update Date 2/29/2012
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 122300000X
18 Provider License Number 1 2901020359
19 Provider License Number State Code 1 MI
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.