Individual provider · Type 1 NPI

Shaza Basbar Dafalla

Pediatric Dentistry · Louisville, KY

NPI number 1326526211 Active

Practice location

3934 Dutchmans Ln
Louisville, KY 40207-4702

Call (502) 897-0625 Map

Fax (502) 618-4514

Mailing address

98 C Michael Davenport Blvd
Frankfort, KY 40601-4333

Other practice locations

  • 98 C Michael Davenport Blvd, Frankfort, KY 40601-4333 · (502) 223-7186

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X10659 (KY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X1178 (KY)

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.

3 other providers at this address

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About NPI 1326526211

Shaza Basbar Dafalla's National Provider Identifier is 1326526211, issued on Aug 1, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Louisville, KY. The record was last updated on Jul 9, 2023.