Provider Demographics
NPI:1124196126
Name:JAMSHEED, AMIR H (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:H
Last Name:JAMSHEED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3446 STANDISH DR
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4036
Mailing Address - Country:US
Mailing Address - Phone:310-666-3250
Mailing Address - Fax:
Practice Address - Street 1:16055 VENTURA BLVD STE 400
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2608
Practice Address - Country:US
Practice Address - Phone:818-501-0427
Practice Address - Fax:818-501-0583
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54513122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist