Provider Demographics
NPI:1427389923
Name:NAYEEM, ARBINA
Entity Type:Individual
Prefix:
First Name:ARBINA
Middle Name:
Last Name:NAYEEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 COMMERCE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2714
Mailing Address - Country:US
Mailing Address - Phone:267-460-4254
Mailing Address - Fax:215-646-6199
Practice Address - Street 1:1950 STREET RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3755
Practice Address - Country:US
Practice Address - Phone:215-638-4696
Practice Address - Fax:215-638-7452
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038013122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist