Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417635053 Individual Practitioner Male Practitioner

Dr. Ahmed Al Ezzi , DMD

Dentist • Surprise, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Ahmed Al Ezzi, DMD is a registered healthcare professional specializing in Dentist in Surprise, AZ. Practice services are available at 17081 W GREENWAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17081 W Greenway Rd

Surprise, AZ 853889612

Telephone 6235468400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Surprise, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
37 Specialists

Practicing in Surprise, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D011892

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

731 E Union Hills Dr

Phoenix, AZ 850242900

Phone: 6026138004

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Amish Patel , DDS

Dentist - General Practice

NPI 1033235734

Doctor of Dental Surgery

Joshua Shaw

Dentist - General Practice

NPI 1043706799
NPI 1538557525

Doctor of Dental Medicine

NPI 1649766452

Doctor of Dental Medicine

Dr. Hunter Rowe , DMD

Dentist - General Practice

NPI 1871332726

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2023

Registered at 17081 W GREENWAY RD, SURPRISE, AZ 853889612 (Tel: 6235468400)

📍
Updated Business Mailing Address July 05, 2023

Registered at 8809 N 67TH DR, PEORIA, AZ 853458401 (Tel: 6236284731)

👤
Provider Name / Credentials Updated July 05, 2023

Recorded as AHMED AL EZZI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2023

Dentist (License #D011892 in AZ)

🟢
Initial NPI Registration & Enumeration July 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417635053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2023
Last Update: March 16, 2026
Sole Proprietor: No

Mailing Address

8809 N 67th Dr

Peoria, AZ 853458401

Phone: 6236284731

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.