Healthcare Provider Details

I. General information

NPI: 1265190862
Provider Name (Legal Business Name): YASMIN SOLIMAN HAMMAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3806 N 3RD ST
PHOENIX AZ
85012-2015
US

IV. Provider business mailing address

260 E RIO SALADO PKWY APT 2061
TEMPE AZ
85281-0306
US

V. Phone/Fax

Practice location:
  • Phone: 856-398-1922
  • Fax:
Mailing address:
  • Phone: 856-398-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02871800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: