Provider Demographics
NPI:1871050807
Name:SHABANA ZAHIR DMD & ASSOCIATES PLLC
Entity type:Organization
Organization Name:SHABANA ZAHIR DMD & ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHABANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:757-548-0000
Mailing Address - Street 1:501 CEDAR RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5527
Mailing Address - Country:US
Mailing Address - Phone:757-548-0000
Mailing Address - Fax:
Practice Address - Street 1:501 CEDAR RD STE 1A
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5527
Practice Address - Country:US
Practice Address - Phone:757-548-0000
Practice Address - Fax:757-548-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0401412167OtherDENTAL LICENSE
VAFZ3794573OtherDEA LICENSE