Provider Demographics
NPI:1548999543
Name:SHAIKH, MUNEEB AHMED (DDS)
Entity type:Individual
Prefix:
First Name:MUNEEB
Middle Name:AHMED
Last Name:SHAIKH
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 1:2187 JOLLY RD STE A
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3961
Mailing Address - Country:US
Mailing Address - Phone:734-585-4148
Mailing Address - Fax:
Practice Address - Street 1:2187 JOLLY RD STE A
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3961
Practice Address - Country:US
Practice Address - Phone:517-574-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016020511223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry