Provider Demographics
NPI:1497429534
Name:SKM DENTISTRY OF ALLEN
Entity Type:Organization
Organization Name:SKM DENTISTRY OF ALLEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:KHALID
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-534-1915
Mailing Address - Street 1:8700 STONEBROOK PKWY UNIT 1948
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6098
Mailing Address - Country:US
Mailing Address - Phone:214-534-1915
Mailing Address - Fax:
Practice Address - Street 1:977 SAM RAYBURN TOLLWAY STE 190
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6014
Practice Address - Country:US
Practice Address - Phone:214-534-1915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SKM DENTISTRY OF TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty