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

TaxonomyCodeLicense
Dentist 122300000XDS041118 (PA)
Student in an Organized Health Care Education/Training Program 390200000X3902000000X (PA)
Periodontics Primary 1223P0300X105586 (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

See all in Upland →

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.