DR. SHAMEEM WAHAB (NPI# 1962623116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962623116 |
| Entity Type | Individual |
| Full Name | DR. SHAMEEM WAHAB |
| Credential | DDS |
| Practice Address |
Great Lakes Dental Services, PC 107 E Chestnut St Rome NY 13440 |
| Mailing Address |
25 C Rolling Ridge Road Montvale NJ 07645 |
| Practice Telephone | 3153360494 |
| Mailing Telephone | 3153360494 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 043154 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01660342 | 05 |
| Street Address |
GREAT LAKES DENTAL SERVICES, PC 107 E CHESTNUT ST |
| City | ROME |
| State | NY |
| Zip Code | 13440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023239365 | Gursimrat K Judge | Dentist | Great Lakes Dental Services, PC, 107 E Chestnut St., Rome, NY 13440 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396167128 | Laura Spragens Parkman | Dentist | 2201 J L Todd Dr, Rome, GA 30161-5064 | 2014-01-14 |
| 1407176530 | Larkin Patrick Swartz | Dentist | 313 Redmond Rd Nw, Rome, GA 30165-1539 | 2010-06-11 |
| 1437328713 | Duane Leo Wallace | Dentist | 63 Geiger Road, Rome, NY 13441 | 2008-02-21 |
| 1669681292 | Russell George Marriott | Dentist | 311 W Thomas St, Rome, NY 13440-4149 | 2007-05-21 |
| 1548383359 | John A Destito | Dentist | 206 W Thomas St, Rome, NY 13440-5008 | 2007-04-08 |
| 1114080041 | Rome Family Dental Service P.C. | Dentist | 215 North Washington St., Rome, NY 13440 | 2006-12-19 |
| 1134215882 | Kyle Rush, Dmd, PC | Dentist | 306 East 6th Avenue, Rome, GA 30161 | 2006-10-04 |
| 1760870885 | Special Care Dental of Georgia | Dentist | 111 John Maddox Dr Nw, Ste. 128, Rome, GA 30165-1419 | 2014-12-23 |
| 1699033936 | Robert Hunter Edwards Jr. | Dentist | 307 Redmond Rd Nw, Rome, GA 30165-1539 | 2012-04-24 |
| 1144514415 | Adam Joshua Doss | Dentist | 16 E 12th St Sw, Rome, GA 30161-4720 | 2011-06-04 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.