Individual
DR. EDWARD ASSAD SHAMIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4980 ROE BLVD, ROELAND PARK, KS 66205-1110
(913) 355-0000
Mailing address
5866 FONTANA DR, FAIRWAY, KS 66205-3133
(646) 724-1266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012019903
MO
122300000X
Dentist
61519
KS
1223G0001X
General Practice Dentistry
2012019903
MO
1223G0001X
General Practice Dentistry
61519
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012019903
STATE LICENSEE NUMBER
MO
01
—
61519
STATE LICENSEE NUMBER
KS
Enumeration date
06/24/2012
Last updated
08/10/2025
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