Provider Demographics
NPI:1023888260
Name:SHAHIRA SAAD DDS INC
Entity type:Organization
Organization Name:SHAHIRA SAAD DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHIRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-750-3061
Mailing Address - Street 1:351 HOSPITAL RD STE 618
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3508
Mailing Address - Country:US
Mailing Address - Phone:949-200-7248
Mailing Address - Fax:949-200-7249
Practice Address - Street 1:351 HOSPITAL RD STE 618
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3508
Practice Address - Country:US
Practice Address - Phone:949-200-7248
Practice Address - Fax:949-200-7249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty