Provider Demographics
NPI:1962047977
Name:ALMASRI, AHMAD A (DDS)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:A
Last Name:ALMASRI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:AHMAD
Other - Middle Name:
Other - Last Name:ALMASRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR ALMASRI
Mailing Address - Street 1:430 W SHAW AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2511
Mailing Address - Country:US
Mailing Address - Phone:559-493-5530
Mailing Address - Fax:
Practice Address - Street 1:430 W SHAW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2511
Practice Address - Country:US
Practice Address - Phone:559-978-7140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35783122300000X
CADDS1073801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentist