Healthcare Provider Details

I. General information

NPI: 1265994388
Provider Name (Legal Business Name): SAFAA GAAFAR SULIMAN AHMED BDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 E MCKINNEY ST STE 190
DENTON TX
76209-6543
US

IV. Provider business mailing address

5800 N INTERSTATE 35 STE 205
DENTON TX
76207-1438
US

V. Phone/Fax

Practice location:
  • Phone: 940-808-1892
  • Fax: 940-784-2229
Mailing address:
  • Phone: 940-220-7833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number38699
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number016.0134069
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: