Provider Demographics
NPI:1952825184
Name:SHERE, HAMMAD ASAED (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAMMAD
Middle Name:ASAED
Last Name:SHERE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 ROCKETTS WAY UNIT 212
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-3060
Mailing Address - Country:US
Mailing Address - Phone:510-862-8465
Mailing Address - Fax:
Practice Address - Street 1:210 ROCKETTS WAY UNIT 212
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-3060
Practice Address - Country:US
Practice Address - Phone:510-862-8465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-30
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014157111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice