Provider Demographics
NPI:1780466441
Name:ASSADI, APAMEH (RDH)
Entity type:Individual
Prefix:MRS
First Name:APAMEH
Middle Name:
Last Name:ASSADI
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SHAWAN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5715
Mailing Address - Country:US
Mailing Address - Phone:443-838-9585
Mailing Address - Fax:
Practice Address - Street 1:1800 SHAWAN VALLEY LN
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-5715
Practice Address - Country:US
Practice Address - Phone:443-838-9585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5061124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist