Provider Demographics
NPI:1619557550
Name:SHAMIEH, LAMEES IBRAHIM
Entity type:Individual
Prefix:
First Name:LAMEES
Middle Name:IBRAHIM
Last Name:SHAMIEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 S SAGINAW ST STE 9
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-1894
Mailing Address - Country:US
Mailing Address - Phone:810-344-9928
Mailing Address - Fax:
Practice Address - Street 1:8305 S SAGINAW ST STE 9
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1894
Practice Address - Country:US
Practice Address - Phone:810-344-9928
Practice Address - Fax:810-344-9936
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016010251223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice