Iman Shahine is a Dentist in Dewitt, New York. Iman Shahine practices all healthcare services and medical treatments related to Dentist. The NPI Number for Iman Shahine is 1720076979. The last update date is 2007-07-08.
Iman Shahine's current location address is 628 Bradford Pkwy, Dewitt, New York. You can contact this provider via phone number 3154583088. The mailing address for Iman Shahine is 628 Bradford Pkwy, Dewitt, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iman Shahine |
|---|---|
| Address | 628 Bradford Pkwy, Dewitt, New York |
| Phone Number | 3154583088 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720076979 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 628 Bradford Pkwy |
|---|---|
| City | Dewitt |
| State | New York (NY) |
| Post Code | 13214 |
| Phone Number | 3154583088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 51526 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2608079 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Iman Shahine by the Centers for Medicare & Medicaid Services?
The Iman Shahine has been issued the NPI (National Provider Identifier) 1720076979. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Iman Shahine's facilities are situated?
The facilities of Iman Shahine are physically located at the following address: 628 Bradford Pkwy, Dewitt, NY, 13214.
What is the Iman Shahine's area of specialization and corresponding taxonomy classification?
The Iman Shahine's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Iman Shahine receive its 1720076979 assignment from the Centers for Medicare & Medicaid Services?
The Iman Shahine was assigned its 1720076979 by the Centers for Medicare & Medicaid Services on 2005-10-12.
As of what date was the information pertaining to Iman Shahine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Iman Shahine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.