Individual provider · Type 1 NPI
Shadie R. Azar, DMD
Periodontics · Upland, CA
NPI number
1144600289
Active
Practice location
250 E 7th St Ste D
Upland, CA 91786-6685
Fax (909) 981-2149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS041118 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 3902000000X (PA) |
| Periodontics Primary | 1223P0300X | 105586 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
Other periodontics providers in Upland
- Gino Antonio Reynoso, DDSPeriodontics Upland, CA NPI 1013750397
- Daniel George Gardiner, DDSPeriodontics Upland, CA NPI 1073946281
- Mark Jeffrey Kunihira, DDSPeriodontics Upland, CA NPI 1164688875
- Negar Tabandeh, DDS, MSPeriodontics Upland, CA NPI 1366644916
- Thomas J. Kepic, DDS, MSDPeriodontics Upland, CA NPI 1386702314
- Daniel Masato Kunihira, DDSPeriodontics Upland, CA NPI 1447380605
- Farah Haroon, DDSPeriodontics Upland, CA NPI 1740693738
About NPI 1144600289
Shadie R. Azar, DMD's National Provider Identifier is 1144600289, issued on Jun 3, 2015. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Upland, CA. The record was last updated on Jan 12, 2021.