Provider Demographics
NPI:1427780964
Name:ALAHMAD, JENAN M A S A (BDS)
Entity type:Individual
Prefix:DR
First Name:JENAN
Middle Name:M A S A
Last Name:ALAHMAD
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SEMMES AVE APT 803
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2367
Mailing Address - Country:US
Mailing Address - Phone:804-263-8870
Mailing Address - Fax:
Practice Address - Street 1:800 SEMMES AVE APT 803
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2367
Practice Address - Country:US
Practice Address - Phone:804-263-8870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04420004441223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry