Provider Demographics
NPI:1457027609
Name:SHAMIEH, SUAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUAD
Middle Name:
Last Name:SHAMIEH
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 1:140 DENTAL CIRCLE
Mailing Address - Street 2:330 BRAUER HALL
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7450
Mailing Address - Country:US
Mailing Address - Phone:919-537-3957
Mailing Address - Fax:
Practice Address - Street 1:385 S. COLUMBIA ST.
Practice Address - Street 2:ROOM 405
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-537-3832
Practice Address - Fax:919-537-3589
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1513381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice