Healthcare Provider Details

I. General information

NPI: 1275468605
Provider Name (Legal Business Name): ABDELRAHMAN MOHAMED SEDIK DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 N THOMPSON LN STE 1B
MURFREESBORO TN
37129-4338
US

IV. Provider business mailing address

4821 AARON DR
ANTIOCH TN
37013-4221
US

V. Phone/Fax

Practice location:
  • Phone: 615-914-3380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13212
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: