Provider Demographics
NPI:1194386185
Name:NAIMEE, MOHAMMED HOMER (DDS)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:HOMER
Last Name:NAIMEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 COLONIAL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2940
Mailing Address - Country:US
Mailing Address - Phone:703-629-0514
Mailing Address - Fax:
Practice Address - Street 1:129 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5608
Practice Address - Country:US
Practice Address - Phone:703-629-0514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT125541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice