Provider Demographics
NPI:1780405134
Name:SHAMMAA, MUHAMMAD KAREEM (DMD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:KAREEM
Last Name:SHAMMAA
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 1:2424 SUNCREST VLG
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3870
Mailing Address - Country:US
Mailing Address - Phone:304-951-5074
Mailing Address - Fax:
Practice Address - Street 1:7829 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5104
Practice Address - Country:US
Practice Address - Phone:724-438-0241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0449021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice