Provider Demographics
NPI:1205268216
Name:HOVEIDA, HAMID (DDS)
Entity type:Individual
Prefix:
First Name:HAMID
Middle Name:
Last Name:HOVEIDA
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 1:6134 WHITE HORSE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-3837
Mailing Address - Country:US
Mailing Address - Phone:813-215-5538
Mailing Address - Fax:
Practice Address - Street 1:6134 WHITE HORSE RD
Practice Address - Street 2:SUITE C
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-3837
Practice Address - Country:US
Practice Address - Phone:864-295-2744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.8281 GD122300000X, 1223G0001X
FLDN 20280122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist