Imtiaz, Umar M

Imtiaz, Umar M is an sole proprietor health care provider with primary practice located at 23374 W Yuma Rd Ste 102 , Buckeye AZ 85326-3120. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Imtiaz, Umar M can be contacted via phone (978) 328-2886.

Contact Information

Primary practice address
23374 W Yuma Rd Ste 102 Buckeye AZ 85326-3120
Phone: (978) 328-2886
Fax: (623) 444-6745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051498 New York
Dental Providers / Pediatric Dentistry 1223P0221X 7256 Arizona

Profile Details

NPI number 1871595983
LBN Legal business name Imtiaz, Umar M
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Jul 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871595983 NPPES
Arizona MEDICAID 225122

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