Provider Demographics
NPI:1962108241
Name:AMANDA AKASHEH DDS PLLC
Entity type:Organization
Organization Name:AMANDA AKASHEH DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKASHEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-838-7188
Mailing Address - Street 1:5592 ARBOR CHASE DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3516
Mailing Address - Country:US
Mailing Address - Phone:586-838-7188
Mailing Address - Fax:586-838-7188
Practice Address - Street 1:740 EMERICK ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-6340
Practice Address - Country:US
Practice Address - Phone:734-482-8671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty