NPI 1255143152 · live from the CMS NPI Registry
Sunna Imtiaz Ahmad, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Indianapolis, IN. National Provider Identifier 1255143152, active.
NPI record
| NPI | 1255143152 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 7365 W 10th St, Indianapolis, IN 46214 |
| Practice phone | 855-720-2470 |
| Mailing address | 307 N Pennsylvania St Apt 618, Indianapolis, IN 46204 |
| Enumerated | January 27, 2025 |
| Last updated | January 27, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12014644A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.