IndividualActive
Ahmed Tareq
NPI 1407568231 · Dentist · New Providence, NJ
Provider details
- NPI number
- 1407568231
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 108457 (CA)
Specialties & taxonomies
Dental Providers
Practice location
48 Gales Dr Apt 1
New Providence, NJ 07974-1981
Phone: (516) 503-7165
Approximate (ZIP-level) locationGet directions
Mailing address
1519 Via Corona
La Verne, CA 91750-2047
Registry dates
- Enumerated
- 2022-12-26
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.