Waddah A Diab in Kennesaw - Periodontics

Waddah A Diab - NPI 1609823772

Waddah A Diab is a Periodontics in Kennesaw, Georgia. Waddah A Diab practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Waddah A Diab is 1609823772. The last update date is 2007-07-08.

Waddah A Diab's current location address is 3900 Frey Rd Nw, Kennesaw, Georgia. You can contact this provider via phone number 7704261062. The mailing address for Waddah A Diab is 3900 Frey Rd Nw, Kennesaw, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Waddah A Diab
Address 3900 Frey Rd Nw, Kennesaw, Georgia
Phone Number 7704261062
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1609823772
Provider Enumeration Date 2006-05-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3900 Frey Rd Nw
City Kennesaw
State Georgia (GA)
Post Code 301445408
Phone Number 7704261062
Fax Number

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 11344
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Waddah A Diab

What is the unique identification code assigned to Waddah A Diab by the Centers for Medicare & Medicaid Services?

The Waddah A Diab has been issued the NPI (National Provider Identifier) 1609823772. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Waddah A Diab's facilities are geographically located?

The facilities of Waddah A Diab are physically situated at the following location: 3900 Frey Rd Nw, Kennesaw, GA, 301445408.

What is Waddah A Diab's specialized field of practice, and what is the corresponding taxonomy classification code?

The Waddah A Diab's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

When did Waddah A Diab receive its 1609823772 assignment?

The Waddah A Diab was assigned its 1609823772 on 2006-05-27, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Waddah A Diab most recently updated or revised?

The details related to Waddah A Diab, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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