Provider Demographics
NPI:1912226903
Name:SHAMY, MEIR (DDS)
Entity type:Individual
Prefix:PROF
First Name:MEIR
Middle Name:
Last Name:SHAMY
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 1:6915 RESEDA BLVD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4250
Mailing Address - Country:US
Mailing Address - Phone:818-345-5000
Mailing Address - Fax:818-345-4332
Practice Address - Street 1:6915 RESEDA BLVD UNIT 4
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4250
Practice Address - Country:US
Practice Address - Phone:818-345-5000
Practice Address - Fax:818-345-4332
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-31
Last Update Date:2010-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30284122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist