Provider Demographics
NPI:1205684370
Name:MOHAMMED MASEEHUDDIN, ARIF (DMD)
Entity type:Individual
Prefix:
First Name:ARIF
Middle Name:
Last Name:MOHAMMED MASEEHUDDIN
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 1:107 CONNER GRANT RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9595
Mailing Address - Country:US
Mailing Address - Phone:778-714-9281
Mailing Address - Fax:
Practice Address - Street 1:900 52ND ST SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-9725
Practice Address - Country:US
Practice Address - Phone:616-531-6240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901602227122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist