IndividualActive
Keon Ahghar, DDS
NPI 1629497086 · Oral and Maxillofacial Surgery (Dentist) · Roswell, NM
Provider details
- NPI number
- 1629497086
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DD4275 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
824 N Main St
Roswell, NM 88201-4969
Phone: (575) 622-4455
Fax: (575) 624-2556
Approximate (ZIP-level) locationGet directions
Mailing address
824 N Main St
Roswell, NM 88201-4969
Registry dates
- Enumerated
- 2014-04-14
- Last updated
- 2024-04-11
- Certified
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.