Healthcare Provider Details

I. General information

NPI: 1972424232
Provider Name (Legal Business Name): HAMZEH ALMASHNI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N 12TH ST
RICHMOND VA
23298-5064
US

IV. Provider business mailing address

1001 E BYRD ST
RICHMOND VA
23219-4285
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-9190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number0442000598
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: