Provider Demographics
NPI:1043651011
Name:ZARROUGH, AHMED ELMAGTOUF (DDS)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:ELMAGTOUF
Last Name:ZARROUGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 S SIERRA MADRE ST APT 600
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-4293
Mailing Address - Country:US
Mailing Address - Phone:617-312-2465
Mailing Address - Fax:
Practice Address - Street 1:105 N TEJON ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1405
Practice Address - Country:US
Practice Address - Phone:719-419-9010
Practice Address - Fax:719-260-0216
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00204587122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist