Individual provider · Type 1 NPI

Basam Shamo, DDS

Pediatric Dentistry · Southfield, MI

NPI number 1376981530 Active

Practice location

22972 Lahser Rd Ste 2
Southfield, MI 48033-4408

Call (248) 864-2500 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901020972 (MI)
Pediatric Dentistry Primary 1223P0221X2901020972 (MI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1376981530

Basam Shamo, DDS's National Provider Identifier is 1376981530, issued on Jun 10, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Southfield, MI. The record was last updated on Jun 8, 2023.