Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316425515 Individual Practitioner Male Practitioner

Dr. Shadi Karam Haidar , DMD

Dentist - General Practice • Canton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Shadi Haidar, DMD is a registered healthcare professional specializing in Dentist - General Practice in Canton, MA. Practice services are available at 95 WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

95 Washington St

Canton, MA 020214006

Telephone 7818282600
Fax 7818282619
Associated Practice Facility / Clinic
🏢 Cobb Corner Endodontics Pc Facility NPI 1306828660

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Canton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Canton, MA (3722 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1858127

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

26 Desoto Rd

West Roxbury, MA 021326033

Phone: 6172597027

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Zaki Mukdissi , DMD

Dentist - General Practice

NPI 1023122637

Doctor of Dental Medicine

Dr. Elie Tannous , DMD

Dentist - General Practice

NPI 1457031791

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 October 17, 2018

Registered at 95 WASHINGTON ST, CANTON, MA 020214006 (Tel: 7818282600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2018

Dentist (License #DN1858127 in MA)

NPI Profile Active July 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2018

Registered at 26 DESOTO RD, WEST ROXBURY, MA 021326033 (Tel: 6172597027)

📍
Updated Business Mailing Address July 31, 2018

Registered at 26 DESOTO RD, WEST ROXBURY, MA 021326033 (Tel: 6172597027)

👤
Provider Name / Credentials Updated July 31, 2018

Recorded as SHADI HAIDAR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 31, 2018

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: 1316425515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2018
Last Update: October 17, 2018
Sole Proprietor: No

Mailing Address

26 Desoto Rd

West Roxbury, MA 021326033

Phone: 6172597027

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.