Provider Demographics
NPI:1952451221
Name:SHIKHZEINELDIN, TAHMINAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TAHMINAH
Middle Name:
Last Name:SHIKHZEINELDIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:ZEINEDDIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:233 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 2305
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1504
Mailing Address - Country:US
Mailing Address - Phone:404-688-2711
Mailing Address - Fax:404-523-0645
Practice Address - Street 1:233 PEACHTREE ST NE
Practice Address - Street 2:SUITE 2305
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1504
Practice Address - Country:US
Practice Address - Phone:404-688-2711
Practice Address - Fax:404-523-0645
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA111261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice