Provider Demographics
NPI:1679022503
Name:NAQVI, SHABAB (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHABAB
Middle Name:
Last Name:NAQVI
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 1:480 LINDEN CT
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2428
Mailing Address - Country:US
Mailing Address - Phone:201-906-3205
Mailing Address - Fax:
Practice Address - Street 1:480 LINDEN CT
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-2428
Practice Address - Country:US
Practice Address - Phone:201-906-3205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02653800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist