Provider Demographics
NPI:1912307273
Name:BURASHED, HAMAD (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAMAD
Middle Name:
Last Name:BURASHED
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 1:92 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3130
Mailing Address - Country:US
Mailing Address - Phone:978-777-5200
Mailing Address - Fax:
Practice Address - Street 1:92 HIGH ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3130
Practice Address - Country:US
Practice Address - Phone:978-777-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-23
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856718122300000X, 1223P0700X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist
No1223P0700XDental ProvidersDentistProsthodontics