Provider Demographics
NPI:1841449386
Name:ABEDIN, SHADI (DDS, CAGS)
Entity type:Individual
Prefix:DR
First Name:SHADI
Middle Name:
Last Name:ABEDIN
Suffix:
Gender:F
Credentials:DDS, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WEST LOOP S
Mailing Address - Street 2:SUITE 895
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9084
Mailing Address - Country:US
Mailing Address - Phone:713-227-6687
Mailing Address - Fax:713-227-6688
Practice Address - Street 1:1001 WEST LOOP S
Practice Address - Street 2:SUITE 895
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-9084
Practice Address - Country:US
Practice Address - Phone:713-227-6687
Practice Address - Fax:713-227-6688
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2014-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257281223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics