DR. AMJAD ALDALLAL


Address: 3900 Crosby Dr Apt 2212, Lexington, KY 40515-1808
Phone: 7083693356

DR. AMJAD ALDALLAL (NPI# 1609013481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609013481
Entity Type Individual
Full Name DR. AMJAD ALDALLAL
Credential DDS
Practice Address 3900 Crosby Dr Apt 2212
Lexington
KY 40515-1808
Practice Telephone 7083693356
Mailing Telephone 7083693356
Enumeration Date 2009-01-15
Last Update Date 2009-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
8564 MA Dental Providers

Office Location

Street Address 3900 CROSBY DR APT 2212
City LEXINGTON
State KY
Zip Code 40515-1808

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730699620 Cassandra Grace Reynolds Occupational Therapy Assistant 3900 Crosby Dr Apt 102, Lexington, KY 40515 2017-10-04
1447793401 Audrey Mccall Logan Counselor 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 2016-11-23
1043760465 Mary Lauren Elizabeth Willis Pharmacist 4251 Mooncoin Way, Lexington, KY 40515 2016-10-10
1417334103 William Douglas Hacker Pediatrics 4856 Pleasant Grove Road, Lexington, KY 40515 2015-05-01
1528480340 Frances Ann Cook Psychologist 4105 Heartwood Rd, Lexington, KY 40515 2014-01-14
1245574532 Patricia H Woodruff Nurse Practitioner 3030 Brookmonte Ln, Lexington, KY 40515 2012-11-27
1225381064 Tiffany Kruger Physical Therapist 1092 Duval St Ste 210, Lexington, KY 40515 2012-10-17
1356698203 Jessika Cordell Vance-morgan Behavioral Analyst 945 Darda Ct, Lexington, KY 40515 2012-08-09
1285915363 Southern Office Solutions Specialist 5060 Ivybridge Dr., Lexington, KY 40515 2011-09-02
1578794426 Emilie Carter Social Worker 1096 Duval St Ste 140, Lexington, KY 40515 2009-07-27
Find all providers in zip 40515

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568014827 David B Rosen Dmd Dentist 57 Bedford St Ste 110, Lexington, MA 02420-4550 2019-07-16
1467925057 Periodontology Associates of Lexington, Pllc Dentist 35 Bedford St Ste 20, Lexington, MA 02420-4440 2019-01-07
1811462336 Lexington Periodontics and Implant Dentistry Dentist 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125 2018-10-11
1326285883 Jeff Dickson Dentist 249 Greenbriar Rd, Lexington, KY 40503-4020 2009-01-20
1790977668 Ward Thomas Piepgrass Dentist 3181 Beaumont Centre Cir, Lexington, KY 40513-1836 2007-08-15
1023130275 Walter Neal Shepherd Dentist 3285 Blazer Parkway, Suite 110, Lexington, KY 40509 2007-04-06
1346385010 Paul Armstrong Jr. Dentist 811 Corporate Dr, 302, Lexington, KY 40503-5407 2007-02-21
1205927696 Gregory Shawn Vance Dentist 3285 Blazer Pkwy, Suite 210, Lexington, KY 40509-2119 2006-09-28
1962511832 Garnett C. Brown IIi Dentist 1001 Monarch St Ste 200, Lexington, KY 40513-1875 2006-08-30
1053427864 James B Laney Dentist 1356a Northlake Drive, Lexington, SC 29072 2006-08-22
Find all providers in LEXINGTON

Competitor

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City LEXINGTON
Zip Code 40515

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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