Provider Demographics
NPI:1124411772
Name:AHMED SALAD ASSOCIATES
Entity Type:Organization
Organization Name:AHMED SALAD ASSOCIATES
Other - Org Name:SIGNAL HILL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:NUR
Authorized Official - Last Name:SALAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:651-340-9151
Mailing Address - Street 1:1200 S ROBERT ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118
Mailing Address - Country:US
Mailing Address - Phone:651-340-9151
Mailing Address - Fax:
Practice Address - Street 1:1200 S ROBERT ST
Practice Address - Street 2:SUITE C
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118
Practice Address - Country:US
Practice Address - Phone:651-340-9151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty