DR. THAER BASIM ALQADOUMI DDS MS NPI 1487000592

NPI Information

NPI: 1487000592
Provider Name: DR. THAER BASIM ALQADOUMI, DDS, MS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
81735 US HIGHWAY 111
SUITE A
INDIO, CA
ZIP 92201
Phone: (760) 238-4533
Get Directions

DR. Thaer Basim Alqadoumi, DDS, MS is a periodontics dentist in Indio, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Thaer Basim Alqadoumi, DDS, MS NPI is 1487000592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

81735 US HIGHWAY 111
SUITE A
INDIO, CA
ZIP 92201-713
Phone: (760) 238-4533

The enumeration date for this NPI number is 5/6/2016 and was last updated on 10/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		100200	CALIFORNIA	No
2	1223P0300X	Dentist	Periodontics	100200	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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