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
Entity Type: Individual

Specialization: Periodontics

Address:
250 E 7TH ST STE D
UPLAND, CA
ZIP 91786
Phone: (951) 316-3384
Get Directions

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
1	122300000X	Dentist		DS041118	PENNSYLVANIA	No
2	1223P0300X	Dentist	Periodontics	105586	CALIFORNIA	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program		3902000000X	PENNSYLVANIA	No

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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