DR. SHADIE R AZAR D.M.D. NPI 1144600289

NPI Information

  • NPI: 1144600289
  • Provider Name: DR. SHADIE R AZAR, D.M.D.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 250 E 7TH ST STE D
    UPLAND, CA
    ZIP 91786
  • Phone: (951) 316-3384

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NPI Details

DR. Shadie R Azar, D.M.D. is a periodontics dentist in Upland, 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. Shadie R Azar, D.M.D. NPI is 1144600289. 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:

250 E 7TH ST STE D
UPLAND, CA
ZIP 91786-685
Phone: (951) 316-3384
Fax: (909) 981-2149

The enumeration date for this NPI number is 6/3/2015 and was last updated on 1/12/2021.

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
1122300000XDentistDS041118PENNSYLVANIANo
21223P0300XDentistPeriodontics105586CALIFORNIAYes
3390200000XStudent in an Organized Health Care Education/Training Program3902000000XPENNSYLVANIANo

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: 11/21/2025

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