Provider Demographics
NPI:1023485109
Name:RANA, SUHAIL (DDS)
Entity type:Individual
Prefix:DR
First Name:SUHAIL
Middle Name:
Last Name:RANA
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 1:2934 BOGART LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-2300
Mailing Address - Country:US
Mailing Address - Phone:313-329-4711
Mailing Address - Fax:
Practice Address - Street 1:2854 N MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5413
Practice Address - Country:US
Practice Address - Phone:931-456-1138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12096122300000X
WI1001240-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist