Provider Demographics
NPI:1750303756
Name:NIMRI, ZEIAD T (BDS,DMD)
Entity Type:Individual
Prefix:DR
First Name:ZEIAD
Middle Name:T
Last Name:NIMRI
Suffix:
Gender:M
Credentials:BDS,DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 ASHLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-2419
Mailing Address - Country:US
Mailing Address - Phone:508-998-1322
Mailing Address - Fax:508-998-1234
Practice Address - Street 1:1177 ASHLEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-2419
Practice Address - Country:US
Practice Address - Phone:508-998-1322
Practice Address - Fax:508-998-1234
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0188921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice