Provider Demographics
NPI:1073914545
Name:ALHAMDI, SINAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:SINAN
Middle Name:
Last Name:ALHAMDI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9555 GOLD COAST DR APT A2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-3933
Mailing Address - Country:US
Mailing Address - Phone:314-532-3914
Mailing Address - Fax:
Practice Address - Street 1:12750 CARMEL COUNTRY RD STE 213
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2172
Practice Address - Country:US
Practice Address - Phone:314-532-3941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18567261223G0001X, 122300000X
CA1032641223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice