Individual provider · Type 1 NPI

Jay Ibrahim Haddad, DDS

Oral and Maxillofacial Surgery (Dentist) · Frederick, MD

NPI number 1790760700 Active

Practice location

6550 Mercantile Dr E Ste 101
Frederick, MD 21703-7656

Fax (301) 694-7034

Mailing address

7625 Maple Lawn Blvd, Suite 240
Fulton, MD 20759-2565

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X13498 (MD)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1790760700

Jay Ibrahim Haddad, DDS's National Provider Identifier is 1790760700, issued on Dec 13, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Frederick, MD. The record was last updated on Feb 21, 2023.