Healthcare Provider Details

I. General information

NPI: 1205754090
Provider Name (Legal Business Name): AHMED SOLIMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 W MAIN ST
RICHMOND VA
23220-4810
US

IV. Provider business mailing address

1912 EVERGREEN EAST PKWY
MIDLOTHIAN VA
23114-3299
US

V. Phone/Fax

Practice location:
  • Phone: 804-359-3449
  • Fax:
Mailing address:
  • Phone: 716-908-6327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401420147
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: