Provider Demographics
NPI:1821634817
Name:SHABANA ZAHIR DMD & ASSOCIATES PLLC
Entity Type:Organization
Organization Name:SHABANA ZAHIR DMD & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHABANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:757-548-0000
Mailing Address - Street 1:501 CEDAR RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5527
Mailing Address - Country:US
Mailing Address - Phone:757-548-0000
Mailing Address - Fax:
Practice Address - Street 1:501 CEDAR RD STE 1A
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5527
Practice Address - Country:US
Practice Address - Phone:757-548-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental