Healthcare Provider Details

I. General information

NPI: 1558098715
Provider Name (Legal Business Name): WALID NEHME DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2022
Last Update Date: 08/06/2022
Certification Date: 08/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 5TH ST
SAN FRANCISCO CA
94103-2919
US

IV. Provider business mailing address

434 MINNA ST APT 1310
SAN FRANCISCO CA
94103-4618
US

V. Phone/Fax

Practice location:
  • Phone: 415-929-6501
  • Fax:
Mailing address:
  • Phone: 415-605-2017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberSP301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: