MARYAM SULTANA AHMED, D.D.S — NPI 1417206368 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in STERLING, VA)

CMS-1500 Box 24J / 33a • NPI

1417206368

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

6 PIDGEON HILL DR STE 103, STERLING, VA, 20165-6180

✓ 9-Digit EDI 837 ZIP+4 (20165-6180)

Practice Phone & Referral Fax

(703) 651-6620

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1417206368 (MARYAM SULTANA AHMED, D.D.S) 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	`1417206368` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARYAM SULTANA AHMED, D.D.S
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	6 PIDGEON HILL DR STE 103, STERLING, VA, 20165-6180
Practice Telephone / Fax	Tel: (703) 651-6620
Administrative Mailing Address	41382 RASPBERRY DR, LEESBURG, VA, 20176-7826
Enumeration & Last Sync	Enumerated: 2012-09-06 \| CMS Record Updated: 2026-09-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6 PIDGEON HILL DR STE 103, STERLING, VA, 20165-6180

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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 (MARYAM SULTANA AHMED, D.D.S)

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: VA \| License: `0401416061` \| Primary: Yes (Primary)
`1223G0001X` — Dentist, General Practice Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: VA \| License: `0401416061` \| Primary: Secondary
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: WV \| License: `4381` \| Primary: Secondary

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MARYAM SULTANA AHMED, D.D.S (NPI #1417206368)