Provider Demographics
NPI:1881340438
Name:AL SALMAN, AHMED
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:
Last Name:AL SALMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4124 DUNKIRK CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7116
Mailing Address - Country:US
Mailing Address - Phone:217-588-9601
Mailing Address - Fax:
Practice Address - Street 1:9619 E COUNTY LINE RD STE E
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3535
Practice Address - Country:US
Practice Address - Phone:720-823-5419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO205231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist