Provider Demographics
NPI:1568563757
Name:BUKHARI, SAADIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAADIA
Middle Name:
Last Name:BUKHARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6429 GRASSLANDS CT
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9594
Mailing Address - Country:US
Mailing Address - Phone:614-423-4113
Mailing Address - Fax:
Practice Address - Street 1:45 HUBER VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3305
Practice Address - Country:US
Practice Address - Phone:614-882-8000
Practice Address - Fax:614-882-9684
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300212991223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics