Provider Demographics
NPI:1356757611
Name:ACHKAR, JAAFAR (DDS)
Entity type:Individual
Prefix:
First Name:JAAFAR
Middle Name:
Last Name:ACHKAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6411 RIVER CROSSINGS
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2198
Mailing Address - Country:US
Mailing Address - Phone:860-519-2191
Mailing Address - Fax:
Practice Address - Street 1:6411 RIVER CROSSINGS
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2198
Practice Address - Country:US
Practice Address - Phone:860-519-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0272601223G0001X
TN106851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice