Provider Demographics
NPI:1538887708
Name:HAMID, WAFA (DDS)
Entity type:Individual
Prefix:
First Name:WAFA
Middle Name:
Last Name:HAMID
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 VANTAGE WAY APT 1418
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1645
Mailing Address - Country:US
Mailing Address - Phone:703-909-2572
Mailing Address - Fax:
Practice Address - Street 1:45 VANTAGE WAY APT 1418
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1645
Practice Address - Country:US
Practice Address - Phone:703-909-2572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN120161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice