AHMED HAMDAN — NPI 1215892948 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in ORANGE, MA)

CMS-1500 Box 24J / 33a • NPI

1215892948

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1223S0112X (CMS 19)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

119 ATHOL RD, ORANGE, MA, 01364

Official NPPES Practice Location

Practice Phone & Referral Fax

(978) 544-1576

Fax: (978) 248-9837

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215892948 (AHMED HAMDAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215892948` (NPI-1 Individual Practitioner)
Provider / Legal Name	AHMED HAMDAN
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223S0112X` (Dentist, Oral and Maxillofacial Surgery)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	119 ATHOL RD, ORANGE, MA, 01364
Practice Telephone / Fax	Tel: (978) 544-1576 \| Fax: (978) 248-9837
Administrative Mailing Address	9303 QUALIS NEST. CORDOVA, MEM, TN, 38018
Enumeration & Last Sync	Enumerated: 2025-12-16 \| CMS Record Updated: 2025-12-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

119 ATHOL RD, ORANGE, MA, 01364

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Plain-English Taxonomy & CMS Crosswalk (1223S0112X)

What Does Taxonomy Code 1223S0112X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223S0112X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 19 (Oral Surgery (Dentist only))
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AHMED HAMDAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223S0112X` — Dentist, Oral and Maxillofacial Surgery Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: MA \| License: `Dl100911` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AHMED HAMDAN (NPI #1215892948)