Provider Demographics
NPI:1992585087
Name:AMR, NADEEN LAILA (DMD)
Entity type:Individual
Prefix:DR
First Name:NADEEN
Middle Name:LAILA
Last Name:AMR
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 1:35765 NIGHTSHADE LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5073
Mailing Address - Country:US
Mailing Address - Phone:267-665-4477
Mailing Address - Fax:
Practice Address - Street 1:6725 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1148
Practice Address - Country:US
Practice Address - Phone:888-833-8441
Practice Address - Fax:888-373-9612
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035101122300000X
OH30.026986122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist