Provider Demographics
NPI:1639240443
Name:NAHMAD, RAYMOND HENRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:HENRY
Last Name:NAHMAD
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 1:7950 NW 53RD ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4653
Mailing Address - Country:US
Mailing Address - Phone:305-592-5827
Mailing Address - Fax:305-592-7654
Practice Address - Street 1:7950 NW 53RD ST
Practice Address - Street 2:SUITE 112
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4653
Practice Address - Country:US
Practice Address - Phone:305-592-5827
Practice Address - Fax:305-592-7654
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL85831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650849707OtherT.I.N.