Provider Demographics
NPI:1619312550
Name:SENAN AHMED DDS PLLC
Entity Type:Organization
Organization Name:SENAN AHMED DDS PLLC
Other - Org Name:SUNRISE DENTAL OF BELLINGHAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SENAN
Authorized Official - Middle Name:RAAD-FADUL
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:360-734-1999
Mailing Address - Street 1:102 S SAMISH WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6001
Mailing Address - Country:US
Mailing Address - Phone:360-734-1999
Mailing Address - Fax:360-734-8822
Practice Address - Street 1:102 S SAMISH WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6001
Practice Address - Country:US
Practice Address - Phone:360-734-1999
Practice Address - Fax:360-734-8822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNRISE DENTAL OF BELLINGHAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601049861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty