Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285225995 Individual Practitioner Male Practitioner

Dr. Fady Shaaban , DDS

Dentist • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dr. Fady Shaaban, DDS is a registered healthcare professional specializing in Dentist in Crestview, FL. Practice services are available at 1900 S FERDON BLVD STE 170 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 S Ferdon Blvd Ste 170

Crestview, FL 325368510

Telephone 8503313392

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Crestview, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN25643

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

208 Hospital Dr Ne

Fort Walton Beach, FL 325485068

Phone: 8505183278

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1235021882

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 29, 2024

Registered at 1900 S FERDON BLVD STE 170, CRESTVIEW, FL 325368510 (Tel: 8503313392)

📍
Updated Business Mailing Address July 29, 2024

Registered at 4320 COMMONS DR W UNIT 1312, DESTIN, FL 325418646 (Tel: 2248019108)

NPI Profile Active January 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2021

Registered at 287 BUNTING CT, DEERFIELD, IL 600153691 (Tel: 2248019108)

📍
Updated Business Mailing Address January 27, 2021

Registered at 287 BUNTING CT, DEERFIELD, IL 600153691 (Tel: 2248019108)

👤
Provider Name / Credentials Updated January 27, 2021

Recorded as FADY SHAABAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2021

Dentist (License #DN25643 in FL)

🟢
Initial NPI Registration & Enumeration January 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285225995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2021
Last Update: July 29, 2024
Sole Proprietor: No

Mailing Address

4320 Commons Dr W Unit 1312

Destin, FL 325418646

Phone: 2248019108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.