Provider Demographics
NPI:1275307142
Name:MAHFUZUR RAHMAN DENTISTRY PC
Entity Type:Organization
Organization Name:MAHFUZUR RAHMAN DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHFUZUR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-612-9585
Mailing Address - Street 1:13030 PRESTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-6406
Mailing Address - Country:US
Mailing Address - Phone:206-612-9585
Mailing Address - Fax:
Practice Address - Street 1:13030 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6406
Practice Address - Country:US
Practice Address - Phone:206-612-9585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty