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Deactivated NPI 1811612864 Deactivated / Inactive NPI Male Practitioner

Dr. Ahmed Sherif Aly , DDS

Dentist - General Practice • Columbus, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ahmed Aly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2022
NPI Deactivation Date May 15, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ahmed Aly, DDS was a registered Dentist - General Practice practicing in Columbus, OH. Throughout an active medical career spanning 1 years, Dr. Aly provided care at the practice location at 5969 E BROAD STREET, SUITE 303 until profile deactivation on 2023-05-15.

Practice Location & Contact Primary Location

Practice Address

5969 E Broad Street, Suite 303

Columbus, OH 43213

Telephone 6146268822

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
351 Specialists

Practicing in Columbus, OH (4287 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: 2023-06-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30.027744

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Sambodhi Mitra

Student in an Organized Health Care Education/Training Program

NPI 1033963467
NPI 1376233700
Dr. Rob Steiner , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1629199526

Doctor of Dental Medicine

Bhavana Tadikonda , BDS MBS

Student in an Organized Health Care Education/Training Program

NPI 1659059582

BDSMBS

NPI 1831945336

Career & Practice History Timeline

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

14 Historical Events
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Updated Practice Location January 08, 2025

Registered at 5969 E BROAD STREET, SUITE 303, COLUMBUS, OH 43213 (Tel: 6146268822)

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Updated Business Mailing Address January 08, 2025

Registered at 1684 CANVASBACK LANE, COLUMBUS, OH 43215 (Tel: 2163759103)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Dentist (License #30.027744 in OH)

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Updated Practice Location June 28, 2023

Registered at 5969 EAST BROAD STREET, SUITE 303, COLUMBUS, OH 43213 (Tel: 2163769103)

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Updated Business Mailing Address June 28, 2023

Registered at 5969 EAST BROAD STREET, SUITE 303, COLUMBUS, OH 43213 (Tel: 6146268822)

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Provider Name / Credentials Updated June 28, 2023

Recorded as AHMED ALY, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2023

Student in an Organized Health Care Education/Training Program (License #RESI004551 in OH)

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NPI Profile Deactivated May 15, 2023

Record deactivated on May 15, 2023

NPI Profile Active October 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2022

Registered at 5969 EAST BROAD STREET, SUITE 303, COLUMBUS, OH 43213 (Tel: 2163769103)

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Updated Business Mailing Address October 11, 2022

Registered at 5969 EAST BROAD STREET, SUITE 303, COLUMBUS, OH 43213 (Tel: 2163769103)

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Provider Name / Credentials Updated October 11, 2022

Recorded as AHMED ALY, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2022

Student in an Organized Health Care Education/Training Program (License #RESI004551 in OH)

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Initial NPI Registration & Enumeration October 11, 2022

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: 1811612864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2022
Last Update: January 08, 2025
Deactivation Date: May 15, 2023
Sole Proprietor: Yes

Mailing Address

1684 Canvasback Lane

Columbus, OH 43215

Phone: 2163759103

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.