Individual provider · Type 1 NPI

Emanuel Shaddaie

Dentist · Jupiter, FL

NPI number 1104639970 Active

Practice location

2545 Military Trl
Jupiter, FL 33458-7879

Mailing address

3955 Design Center Dr Apt 454
Palm Beach Gardens, FL 33410-4366

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN31378 (FL)

Dentist: 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 requiremen…

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About NPI 1104639970

Emanuel Shaddaie's National Provider Identifier is 1104639970, issued on Jan 27, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jupiter, FL. The record was last updated on Jul 13, 2026.