Provider Demographics
NPI:1255781043
Name:NAHMAD, MAURICE (DDS)
Entity type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:
Last Name:NAHMAD
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:PO BOX 560307
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-0307
Mailing Address - Country:US
Mailing Address - Phone:305-794-1810
Mailing Address - Fax:305-675-7817
Practice Address - Street 1:8226 MILLS DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4805
Practice Address - Country:US
Practice Address - Phone:305-794-1810
Practice Address - Fax:305-675-7817
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN8325122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist