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Dr. Jay Ibrahim Haddad, DDS
Oral and Maxillofacial Surgery (Dentist) in Frederick, Maryland
NPI 1790760700

Jay Ibrahim Haddad is a Oral and Maxillofacial Surgery (Dentist) based in Fulton, MD and is specialized in Oral and Maxillofacial Surgery. Jay Ibrahim Haddad practices in Frederick, MD and has the professional credentials of DDS. The NPI Number for Jay Ibrahim Haddad is 1790760700 and holds a License No. 13498 (Maryland).

The current practice location address for Jay Ibrahim Haddad is 6550 Mercantile Dr E Ste 101, Frederick, MD and can be reached out via phone at 301-694-0870 and via fax at 301-694-7034.

Location: 6550 Mercantile Dr E Ste 101, Frederick, MD, 20759-2565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790760700
Provider Name
Jay Ibrahim Haddad
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6550 Mercantile Dr E Ste 101, Frederick, MD, 20759-2565
Phone Number
301-694-0870
Fax Number
301-694-7034
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6550 Mercantile Dr E Ste 101
City
Frederick
State
Maryland
Zip
21703-7656
Phone Number
301-694-0870
Fax Number
301-694-7034
person
Provider Business Mailing Address Details
Address
6550 Mercantile Dr E Ste 101
City
Frederick
State
Maryland
Zip
21703-7656
Phone Number
301-694-0870
Fax Number
301-694-7034
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
13498 (Maryland)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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