Shady Shaaban in Garden Grove - General Practice
Shady Shaaban - NPI 1770572877
Shady Shaaban is a General Practice in Garden Grove, California. Shady Shaaban practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shady Shaaban is 1770572877. The last update date is 2022-07-21.
Shady Shaaban's current location address is 12752 Garden Grove Blvd Ste 200, Garden Grove, California. You can contact this provider via phone number 7146362595. The mailing address for Shady Shaaban is 12752 Garden Grove Blvd Ste 200, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shady Shaaban |
|---|---|
| Address | 12752 Garden Grove Blvd Ste 200, Garden Grove, California |
| Phone Number | 7146362595 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770572877 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 12752 Garden Grove Blvd Ste 200 |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928431924 |
| Phone Number | 7146362595 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D12148 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Shady Shaaban by the Centers for Medicare & Medicaid Services?
The Shady Shaaban has been assigned the NPI (National Provider Identifier) 1770572877. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shady Shaaban is geographically located?
The Shady Shaaban is physically situated at the following location: 12752 Garden Grove Blvd Ste 200, Garden Grove, CA, 928431924.
What is Shady Shaaban's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shady Shaaban is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770572877 to Shady Shaaban?
The Shady Shaaban received its 1770572877 assignment from the Centers for Medicare & Medicaid Services on 2005-10-20.
As of what date were the Shady Shaaban's details last updated?
The information pertaining to the Shady Shaaban, including its address, specialty, and other details, was most recently updated on 2022-07-21.
NPI Number: 1851396006
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