Individual provider · Type 1 NPI

Amer Azzam Shatta, B.D.S

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1609252550 Active

Practice location

2124 Cornell Road, Case School Of Dental Medicine, Periodontics Department
Cleveland, OH 44106

Call (216) 368-6757 Map

Fax (216) 368-3204

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRES.3524 (OH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609252550

Amer Azzam Shatta, B.D.S's National Provider Identifier is 1609252550, issued on Aug 3, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 3, 2015.