Basic Information
Provider Information
NPI: 1770215634
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QAMHIYEH
FirstName: MAJD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 HIGH ST FL 3
Address2:  
City: HAMILTON
State: OH
PostalCode: 450116078
CountryCode: US
TelephoneNumber: 5134541460
FaxNumber:  
Practice Location
Address1: 3045 BUSENBARK RD STE B
Address2:  
City: TRENTON
State: OH
PostalCode: 450677611
CountryCode: US
TelephoneNumber: 5134541111
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2022
LastUpdateDate: 06/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X30.026915OHY Dental ProvidersDentist 

No ID Information.


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