Provider Demographics
NPI:1457032682
Name:ASSAAD, ALI (DMD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:ASSAAD
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 PARKLAWN DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3399
Mailing Address - Country:US
Mailing Address - Phone:615-617-7650
Mailing Address - Fax:
Practice Address - Street 1:330 FRANKLIN RD STE 230B
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3210
Practice Address - Country:US
Practice Address - Phone:615-661-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12424122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist