Provider Demographics
NPI:1336633049
Name:SEMAIE, ERMIAS A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERMIAS
Middle Name:A
Last Name:SEMAIE
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 1:710 WINHALL WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2070
Mailing Address - Country:US
Mailing Address - Phone:240-593-5199
Mailing Address - Fax:
Practice Address - Street 1:5813 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2201
Practice Address - Country:US
Practice Address - Phone:301-853-1567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD164421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice