Individual provider · NPI-1

Zarina Suleymonovna Akhmedova, DDS

Dentist · Lansing, MI

NPI number1124718424
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1124718424
Entity type
Individual (NPI-1)
Name
Zarina Suleymonovna Akhmedova
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
May 10, 2023
Certification date
Aug 21, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2901601849MIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

5139 W Saginaw Hwy
Lansing, MI 48917-2635

Phone 517-318-2657

Mailing address

6181 Whitehills Lake Dr
East Lansing, MI 48823-9484

Phone 517-763-6971

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Lansing, MI