Nader Farhan Abdulhameed, BDS, MS, MSC, PHD

Individual provider Active NPI Prosthodontics · Gainesville, FL

NPI 1457701914 · NPPES record last updated Jun 21, 2023

Key facts

NPI
1457701914
Entity type
Individual (NPI type 1)
Primary specialty
Prosthodontics 1223P0700X
License
DTP784 (FL)
Practice address
1395 Center Dr RM D9-6
Gainesville, FL 32610-3006
Phone
(352) 273-5850
Fax
(352) 846-1643
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DTP636FLMDDentist
DTP784FLMDProsthodontist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DTP636 FL
General Practice Dentistry 1223G0001X DTP636 FL
Prosthodontics 1223P0700X DTP784 FL Yes

Addresses

Primary practice location

1395 Center Dr RM D9-6
Gainesville, FL 32610-3006

Mailing address

1395 Center Dr RM D9-6
PO Box 100415
Gainesville, FL 32610-3006
Phone (352) 273-5850

Other providers in Gainesville, FL

All providers in Gainesville, FL · Prosthodontics in Florida

Sources for this page

Verify at the official NPI Registry.