Provider Demographics
NPI:1720429475
Name:DAOUD, AMIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:DAOUD
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 1:2325 ULMERTON RD
Mailing Address - Street 2:SUITE 27
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-2282
Mailing Address - Country:US
Mailing Address - Phone:727-561-0800
Mailing Address - Fax:
Practice Address - Street 1:2325 ULMERTON RD
Practice Address - Street 2:SUITE 27
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-2282
Practice Address - Country:US
Practice Address - Phone:727-561-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20268122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist