# DR. EDWARD ASSAD SHAMIEH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861755837
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2012019903 | MO | Yes |
| 122300000X | Dentist | 61519 | KS | — |
| 1223G0001X | General Practice Dentistry | 2012019903 | MO | — |
| 1223G0001X | General Practice Dentistry | 61519 | KS | — |

## Other

- **Enumeration date:** 06/24/2012
- **Last updated:** 08/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2012019903 | STATE LICENSEE NUMBER | MO |
| 01 | — | 61519 | STATE LICENSEE NUMBER | KS |