Healthcare Provider Details

I. General information

NPI: 1447625579
Provider Name (Legal Business Name): MICHAEL M HASHEMIAN DMD MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 SEVEN HILLS DR
SPRING HILL FL
34609-0212
US

IV. Provider business mailing address

32 SEVEN HILLS DR
SPRING HILL FL
34609-0212
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-4556
  • Fax: 352-688-6238
Mailing address:
  • Phone: 352-688-4556
  • Fax: 352-688-6238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HASHEMIAN
Title or Position: OWNER
Credential: DMD MD
Phone: 352-688-4556