Provider Demographics
NPI:1770327157
Name:JAVAID, MAHAM (DDS)
Entity type:Individual
Prefix:DR
First Name:MAHAM
Middle Name:
Last Name:JAVAID
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 E FM 351
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-2212
Mailing Address - Country:US
Mailing Address - Phone:361-354-5888
Mailing Address - Fax:361-354-5896
Practice Address - Street 1:414 E FM 351
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-2212
Practice Address - Country:US
Practice Address - Phone:361-354-5888
Practice Address - Fax:361-354-5896
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40644122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist