Provider Demographics
NPI:1184887622
Name:AWAD, EWA A (DDS)
Entity type:Individual
Prefix:
First Name:EWA
Middle Name:A
Last Name:AWAD
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 1:2 FRANKLIN PL
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5305
Mailing Address - Country:US
Mailing Address - Phone:973-500-2555
Mailing Address - Fax:
Practice Address - Street 1:2 FRANKLIN PL
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-500-2555
Practice Address - Fax:973-500-6007
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02379100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist