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Dr. Shadie R Azar, DMD
Periodontist in Upland, California
NPI 1144600289

Shadie R Azar is a Periodontist based in Upland, CA and is specialized in Periodontics. Shadie R Azar practices in Upland, CA and has the professional credentials of DMD. The NPI Number for Shadie R Azar is 1144600289 and holds a License No. DS041118 (California).

The current practice location address for Shadie R Azar is 250 E 7Th St Ste D, Upland, CA and can be reached out via phone at 951-316-3384 and via fax at 909-981-2149.

Location: 250 E 7Th St Ste D, Upland, CA, 91786-6685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144600289
Provider Name
Shadie R Azar
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
250 E 7Th St Ste D, Upland, CA, 91786-6685
Phone Number
951-316-3384
Fax Number
909-981-2149
Provider Enumeration Date
06/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 E 7Th St Ste D
City
Upland
State
California
Zip
91786-6685
Phone Number
951-316-3384
Fax Number
909-981-2149
person
Provider Business Mailing Address Details
Address
250 E 7Th St Ste D
City
Upland
State
California
Zip
91786-6685
Phone Number
951-316-3384
Fax Number
909-981-2149
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
105586 (California)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
3902000000X (Pennsylvania)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DS041118 (Pennsylvania)
Definition
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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