Provider Demographics
NPI:1982765822
Name:CHADDAD, KARIM (DDS)
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:CHADDAD
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 1:1020 N HIGHLAND ST
Mailing Address - Street 2:UNIT 725
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2176
Mailing Address - Country:US
Mailing Address - Phone:205-563-2229
Mailing Address - Fax:
Practice Address - Street 1:392 GARRISONVILLE RD
Practice Address - Street 2:UNIT 205
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1500
Practice Address - Country:US
Practice Address - Phone:205-563-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014117501223P0300X
TX230431223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics