Individual provider · Type 1 NPI

Shahrbanoo Fadavi, DDS, M.S.

Pediatric Dentistry · Skokie, IL

NPI number 1750461737 Active

Practice location

4833 Church St, 801 S. Polina
Skokie, IL 60077-1357

Call (847) 673-7118 Map

Mailing address

2429 Meadow Dr N
Wilmette, IL 60091-2253

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

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.

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About NPI 1750461737

Shahrbanoo Fadavi, DDS, M.S.'s National Provider Identifier is 1750461737, issued on Oct 16, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Skokie, IL. The record was last updated on Jul 8, 2007.