Provider Demographics
NPI:1467679969
Name:HASHIM, SHABBIR M (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHABBIR
Middle Name:M
Last Name:HASHIM
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 1:3349 EXECUTIVE PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1376
Mailing Address - Country:US
Mailing Address - Phone:419-537-9352
Mailing Address - Fax:419-537-1816
Practice Address - Street 1:3349 EXECUTIVE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1376
Practice Address - Country:US
Practice Address - Phone:419-537-9352
Practice Address - Fax:419-537-1816
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH192271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice