Provider Demographics
NPI:1770983355
Name:SHAZIB, MUHAMMAD ALI (DMD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD ALI
Middle Name:
Last Name:SHAZIB
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 KOURY ORAL HEALTH SCIENCES BUILDING CB# 7450
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-537-3162
Mailing Address - Fax:919-966-0705
Practice Address - Street 1:DENTAL FACULTY PRACTICE CB 7450
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-6763
Practice Address - Country:US
Practice Address - Phone:919-537-3939
Practice Address - Fax:919-445-0299
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857193122300000X
MEDEN4397122300000X
NC002161223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist