Provider Demographics
NPI:1740849686
Name:JAMIL, UZMA (DDS)
Entity type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:JAMIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14160 SORANO DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9292
Mailing Address - Country:US
Mailing Address - Phone:732-599-5995
Mailing Address - Fax:
Practice Address - Street 1:11691 INDEPENDENCE PKWY # 160
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4719
Practice Address - Country:US
Practice Address - Phone:469-777-8180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12865390200000X
TX393511223P0221X
OH30.0258401223P0221X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0358209Medicaid