Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHADIE R AZAR, D.M.D.
ActiveDR. SHADIE R AZAR, D.M.D. is a Periodontology healthcare provider located in UPLAND, California. NPI 1144600289 is currently active in the NPPES registry. Verify at CMS.
Periodontology · UPLAND, CA
Registration Details
- NPI Number
- 1144600289
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2015 (11.17845897991 yrs)
- Last Updated
- Jan 12, 2021
- Licenses
-
DS041118 (PA)3902000000X (PA)105586 (CA)
Practice Information
- Address
-
250 E 7TH ST STE DUPLAND, CA, 917866685Browse CA providers · Browse ZIP 91786
- Phone
- 9513163384
- Fax
- 9099812149
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Periodontology
Other Periodontology Providers in UPLAND, CA
| Name | Credential | NPI |
|---|---|---|
| THOMAS J KEPIC | DDS, MSD | 1386702314 |
| DR. DANIEL MASATO KUNIHIRA | DDS | 1447380605 |
| DR. NEGAR TABANDEH | DDS, MS | 1366644916 |
| DR. MARK JEFFREY KUNIHIRA | D.D.S. | 1164688875 |
| DR. DANIEL GEORGE GARDINER | DDS | 1073946281 |
| FARAH HAROON | D.D.S. | 1740693738 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.