Shamo, Basam
Shamo, Basam is an individual health care provider with primary practice located at 22972 Lahser Rd Ste 2 , Southfield MI 48033-4408. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Shamo, Basam can be contacted via phone (248) 864-2500.Contact Information
Primary practice address
22972 Lahser Rd Ste 2
Southfield MI 48033-4408
Phone: (248) 864-2500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 2901020972 | Michigan |
Dental Providers / Pediatric Dentistry | 1223P0221X | 2901020972 | Michigan |
Profile Details
NPI number | 1376981530 |
---|---|
LBN Legal business name | Shamo, Basam |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2013 |
Last updated | Jun 8th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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