Individual
LOIY NAIM ISMAIL ALSHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 US-29 N, ATHENS, GA 30600
(706) 389-1301
Mailing address
910 US-29 N, ATHENS, GA 30601
(706) 389-1301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
RES.3279
OH
1223G0001X
General Practice Dentistry
30.024548
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN122517
GA
Other
Enumeration date
08/27/2013
Last updated
10/09/2024
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