Individual provider · Type 1 NPI

Osama Shoueb Modjadidi, DMD

General Practice Dentistry · Chesapeake, VA

NPI number 1679739312 Active

Practice location

113 Gainsborough Sq, Suite 101
Chesapeake, VA 23320-1713

Call (757) 548-5619 Map

Fax (757) 548-6930

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X10783 (VA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1679739312

Osama Shoueb Modjadidi, DMD's National Provider Identifier is 1679739312, issued on Aug 1, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chesapeake, VA. The record was last updated on Oct 10, 2012.