Provider Demographics
NPI:1982019279
Name:NURE, BAHRU SHIKURE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BAHRU
Middle Name:SHIKURE
Last Name:NURE
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 1:9009 WOODYARD RD UNIT 103
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4205
Mailing Address - Country:US
Mailing Address - Phone:301-868-5439
Mailing Address - Fax:
Practice Address - Street 1:9009 WOODYARD RD UNIT 103
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4205
Practice Address - Country:US
Practice Address - Phone:301-868-5439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16267122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist