Active NPIIndividual provider

Dr. Shadi K Haidar, DMD

Dentist, General Practice in Canton, Massachusetts

NPI Number1316425515
Practice location
95 Washington St, Canton, MA 02021-4006
Fax
781-828-2619
Last updated
October 17, 2018

Shadi Karam Haidar is a Dentist, General Practice based in Canton, MA. Shadi Karam Haidar practices in Canton, MA and has the professional credentials of DMD. The NPI Number for Shadi Karam Haidar is 1316425515 and holds a License No. DN1858127 (MA). The current practice location address for Shadi Karam Haidar is 95 Washington St, Canton, MA 02021-4006 and can be reached out via phone at 781-828-2600 and via fax at 781-828-2619.

Provider Profile Details

NPI Number
1316425515
Provider Name
Shadi Karam Haidar
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
95 Washington St, Canton, MA 02021-4006
Phone Number
781-828-2600
Fax Number
781-828-2619
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2018
Last Update Date
October 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Washington St
Canton, MA 02021-4006
City
Canton
Zip
02021-4006
Phone Number
781-828-2600
Fax Number
781-828-2619
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
26 Desoto RD
West Roxbury, MA 02132-6033
City
West Roxbury
State
MA
Zip
02132-6033
Phone Number
617-259-7027

License Information

License Number (2)
DN1858127
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shadi K Haidar, DMD?

The NPI number of Dr. Shadi K Haidar, DMD is 1316425515. It was assigned on July 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Shadi K Haidar, DMD?

Dr. Shadi K Haidar, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858127.

Where does Dr. Shadi K Haidar, DMD practice?

The practice location is 95 Washington St, Canton, MA 02021-4006. The office can be reached at 781-828-2600 (phone) or 781-828-2619 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316425515 directly on the NPPES registry website.

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