Healthcare Provider Details

I. General information

NPI: 1801137302
Provider Name (Legal Business Name): WAMEEDH ABDULMAHDI ABDULAMEER D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 COOK ST SUITE 201
DENVER CO
80206-5325
US

IV. Provider business mailing address

155 COOK ST SUITE 201
DENVER CO
80206-5325
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-0734
  • Fax: 303-394-4985
Mailing address:
  • Phone: 303-320-0734
  • Fax: 303-394-4985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN00201918
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: