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Dr. Fahad Al-fadhli
General Practice Dentistry in Madison, Mississippi
NPI 1669963518

Fahad Al-fadhli is a General Practice Dentistry based in Madison, MS and is specialized in General Practice. Fahad Al-fadhli practices in Madison, MS. The NPI Number for Fahad Al-fadhli is 1669963518 and holds a License No. (Mississippi).

The current practice location address for Fahad Al-fadhli is 109 Sycamore Rdg, Madison, MS and can be reached out via phone at 601-954-4476.

Location: 109 Sycamore Rdg, Madison, MS, 39110-7333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669963518
Provider Name
Fahad Al-fadhli
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 Sycamore Rdg, Madison, MS, 39110-7333
Phone Number
601-954-4476
Fax Number
Provider Enumeration Date
05/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 Sycamore Rdg
City
Madison
State
Mississippi
Zip
39110-7333
Phone Number
601-954-4476
Fax Number
person
Provider Business Mailing Address Details
Address
109 Sycamore Rdg
City
Madison
State
Mississippi
Zip
39110-7333
Phone Number
601-954-4476
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4071-19 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Mississippi)
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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