Provider Demographics
NPI:1699490607
Name:CHEEMA, MAHAM (DMD)
Entity type:Individual
Prefix:DR
First Name:MAHAM
Middle Name:
Last Name:CHEEMA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15034 BECKLEY LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0416
Mailing Address - Country:US
Mailing Address - Phone:571-639-8600
Mailing Address - Fax:
Practice Address - Street 1:15034 BECKLEY LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0416
Practice Address - Country:US
Practice Address - Phone:571-639-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX379651223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice