Provider Demographics
NPI:1306895594
Name:OWAIS, NADIM N (DDS)
Entity type:Individual
Prefix:DR
First Name:NADIM
Middle Name:N
Last Name:OWAIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:NED
Other - Middle Name:N
Other - Last Name:OWAIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1111 SPRING ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4003
Mailing Address - Country:US
Mailing Address - Phone:301-565-2247
Mailing Address - Fax:301-589-3508
Practice Address - Street 1:1111 SPRING ST
Practice Address - Street 2:SUITE 120
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4003
Practice Address - Country:US
Practice Address - Phone:301-565-2247
Practice Address - Fax:301-589-3508
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD76721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice