Individual provider · Type 1 NPI

Fawaz Omar Shihadeh, DDS

Pediatric Dentistry · Bronx, NY

NPI number 1053815282 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Other practice locations

  • 55 Old Nyack Tpke Ste 109, Nanuet, NY 10954-2449 · (845) 507-0100
  • 243 North Rd Ste 102, Poughkeepsie, NY 12601-1173 · (845) 454-3025

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X061580-01 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2,949 other providers at this address

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About NPI 1053815282

Fawaz Omar Shihadeh, DDS's National Provider Identifier is 1053815282, issued on Mar 21, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bronx, NY. The record was last updated on Sep 14, 2021.