Provider Demographics
NPI:1093598534
Name:NAEEM, ZUNERA TAHIR (DDS)
Entity Type:Individual
Prefix:
First Name:ZUNERA
Middle Name:TAHIR
Last Name:NAEEM
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 1:6740 SHADOW CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-6252
Mailing Address - Country:US
Mailing Address - Phone:863-532-9020
Mailing Address - Fax:
Practice Address - Street 1:6431 LAKE ANDREW DR UNIT 105
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7250
Practice Address - Country:US
Practice Address - Phone:321-213-6232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN285361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice