Sa Dental of Allen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SA DENTAL OF ALLEN

Doing business as

Ideal Smiles

Practice address

190 E Stacy Rd
Suite 1618
Allen, TX 75002-8734

Phone

(940) 321-2088

NPI assigned

May 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sulman Ahmed, DMD

Title

Owner

Phone

(972) 697-8732

Specialties & licenses 1

Addresses

Other names 1

• Ideal Smiles Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1598025843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E STACY RD",
            "address_2": "SUITE 1618",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E STACY RD",
            "address_2": "SUITE 1618",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028734",
            "telephone_number": "940-321-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA DENTAL OF ALLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-697-8732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sage Physician Partners, Inc

• General Practice Dentistry in Allen, TX
• Providers in Allen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.