Provider Demographics
NPI:1477678357
Name:DAHMAN, MOUHAMMAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOUHAMMAD
Middle Name:
Last Name:DAHMAN
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 1:535 N CITRUS AVE
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428-4016
Mailing Address - Country:US
Mailing Address - Phone:352-795-1881
Mailing Address - Fax:352-795-7081
Practice Address - Street 1:535 N CITRUS AVE
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-4016
Practice Address - Country:US
Practice Address - Phone:352-795-1881
Practice Address - Fax:352-795-7081
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN177981223G0001X
KS604381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice