Provider Demographics
NPI:1780808253
Name:MALIK, ASMA FURRUKH (DDS)
Entity type:Individual
Prefix:DR
First Name:ASMA
Middle Name:FURRUKH
Last Name:MALIK
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 1:1702 OVERCHECK LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8132
Mailing Address - Country:US
Mailing Address - Phone:615-661-7977
Mailing Address - Fax:
Practice Address - Street 1:6 CADILLAC DR
Practice Address - Street 2:SUITE 130
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5080
Practice Address - Country:US
Practice Address - Phone:615-373-5914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS81691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice