Provider Demographics
NPI:1386891596
Name:AHMED, SABA SULTANA (DDS)
Entity type:Individual
Prefix:
First Name:SABA
Middle Name:SULTANA
Last Name:AHMED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 GRAND ELM CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2124
Mailing Address - Country:US
Mailing Address - Phone:210-833-8820
Mailing Address - Fax:
Practice Address - Street 1:8191 SOUTHWEST FWY
Practice Address - Street 2:SUITE 117
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1709
Practice Address - Country:US
Practice Address - Phone:713-270-9926
Practice Address - Fax:713-270-9931
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23508122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist