Provider Demographics
NPI:1164456141
Name:NAEEM, NASEER A (DDS)
Entity Type:Individual
Prefix:DR
First Name:NASEER
Middle Name:A
Last Name:NAEEM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:NASEER
Other - Middle Name:A
Other - Last Name:NAEEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:18043 DUMFRIES SHOPPING PLZ
Mailing Address - Street 2:18043 DUMFRIES SHOPPING PLAZA
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2356
Mailing Address - Country:US
Mailing Address - Phone:703-221-4535
Mailing Address - Fax:703-221-8322
Practice Address - Street 1:18043 DUMFRIES SHOPPING PLZ
Practice Address - Street 2:18043 DUMFRIES SHOPPING PLAZA
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2356
Practice Address - Country:US
Practice Address - Phone:703-221-4535
Practice Address - Fax:703-221-8322
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010078181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice