Provider Demographics
NPI:1144407552
Name:ALSHAIKH, NIDA MAHMOUD (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIDA
Middle Name:MAHMOUD
Last Name:ALSHAIKH
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 1:32653 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3895
Mailing Address - Country:US
Mailing Address - Phone:734-728-6166
Mailing Address - Fax:734-728-6176
Practice Address - Street 1:32653 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5294
Practice Address - Country:US
Practice Address - Phone:734-728-6166
Practice Address - Fax:734-728-6176
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018547122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1215476387OtherGROUP NPI NUMBER