Provider Demographics
NPI:1225180243
Name:SHINNAWIE, RAMI S (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMI
Middle Name:S
Last Name:SHINNAWIE
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 1:3843 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68147-1145
Mailing Address - Country:US
Mailing Address - Phone:402-733-2281
Mailing Address - Fax:402-734-0330
Practice Address - Street 1:3843 HARRISON ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68147-1145
Practice Address - Country:US
Practice Address - Phone:402-733-2281
Practice Address - Fax:402-734-0330
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE61591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice