Provider Demographics
NPI:1912919606
Name:SHAMOON, SUHAIR ADEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUHAIR
Middle Name:ADEL
Last Name:SHAMOON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 MILL ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-2201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:508-677-2215
Practice Address - Street 1:920 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1944
Practice Address - Country:US
Practice Address - Phone:508-672-6471
Practice Address - Fax:508-677-2215
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist