DR. BASAM SHAMO D.D.S. NPI 1376981530

NPI Information

NPI: 1376981530
Provider Name: DR. BASAM SHAMO, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
22972 LAHSER RD STE 2
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 864-2500
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DR. Basam Shamo, D.D.S. is a pediatric dentistry dentist in Southfield, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Basam Shamo, D.D.S. NPI is 1376981530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22972 LAHSER RD STE 2
SOUTHFIELD, MI
ZIP 48033-408
Phone: (248) 864-2500

The NPI 1376981530 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/10/2013 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		2901020972	MICHIGAN	No
2	1223P0221X	Dentist	Pediatric Dentistry	2901020972	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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