Provider Demographics
NPI:1952517724
Name:QUDSI, NAVED AWAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAVED
Middle Name:AWAR
Last Name:QUDSI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 FORD ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-1862
Mailing Address - Country:US
Mailing Address - Phone:315-394-0472
Mailing Address - Fax:315-394-0234
Practice Address - Street 1:1322 FORD ST
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-1862
Practice Address - Country:US
Practice Address - Phone:315-394-0472
Practice Address - Fax:315-394-0234
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0389221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice