Provider Demographics
NPI:1942680632
Name:RAHMAN, AHMAD SAFWANUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:SAFWANUR
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PALMORE CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2534
Mailing Address - Country:US
Mailing Address - Phone:615-438-5451
Mailing Address - Fax:
Practice Address - Street 1:3189 LEBANON PIKE UNIT 10
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2314
Practice Address - Country:US
Practice Address - Phone:615-316-0701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10091122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist