Provider Demographics
NPI:1184788580
Name:HAMMOUD, ZAHER (DMD)
Entity type:Individual
Prefix:DR
First Name:ZAHER
Middle Name:
Last Name:HAMMOUD
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 1:1255 HANCOCK ST # B
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4342
Mailing Address - Country:US
Mailing Address - Phone:617-773-4144
Mailing Address - Fax:617-773-4149
Practice Address - Street 1:1255 HANCOCK ST # B
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4342
Practice Address - Country:US
Practice Address - Phone:617-773-4144
Practice Address - Fax:617-773-4149
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice