Healthcare Provider Details

I. General information

NPI: 1740143320
Provider Name (Legal Business Name): ALLINAH TAHIR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 BRIGHTSKIES ST
MORRISVILLE NC
27560-5009
US

IV. Provider business mailing address

1013 BRIGHTSKIES ST
MORRISVILLE NC
27560-5009
US

V. Phone/Fax

Practice location:
  • Phone: 919-579-6540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14458
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: