DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEON J AHGHAR, DDS

Active

DR. KEON J AHGHAR, DDS is a Oral & Maxillofacial Surgery healthcare provider located in ROSWELL, New Mexico. NPI 1629497086 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · ROSWELL, NM

Registration Details

NPI Number
1629497086
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2014 (12.293910324734 yrs)
Last Updated
Apr 11, 2024
Licenses
DD4275 (NM)
DD4275 (NM)
DD4275 (NM)

Practice Information

Address
824 N MAIN ST
ROSWELL, NM, 882014969
Browse NM providers · Browse ZIP 88201
Phone
5756224455
Fax
5756242556
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.