Provider Demographics
NPI:1326864083
Name:AL MOZAYEN, AHMED (BDS, MS)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:
Last Name:AL MOZAYEN
Suffix:
Gender:M
Credentials:BDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 JOHN JAMES AUDUBON PKWY APT 301
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1186
Mailing Address - Country:US
Mailing Address - Phone:716-208-1133
Mailing Address - Fax:
Practice Address - Street 1:3435 MAIN ST DEPT OF
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-3099
Practice Address - Country:US
Practice Address - Phone:716-208-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist