Provider Demographics
NPI:1235151200
Name:HADEED, GEORGE J (DMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:HADEED
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 WILKINS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1281
Mailing Address - Country:US
Mailing Address - Phone:412-682-7785
Mailing Address - Fax:
Practice Address - Street 1:5608 WILKINS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1281
Practice Address - Country:US
Practice Address - Phone:412-682-7785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-019036-L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics