IndividualActive
Fady Shaaban, DDS
NPI 1285225995 · Dentist · Crestview, FL
Provider details
- NPI number
- 1285225995
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN25643 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 S Ferdon Blvd Ste 170
Crestview, FL 32536-8510
Phone: (850) 331-3392
Street-level locationGet directions
Mailing address
4320 Commons Dr W Unit 1312
Destin, FL 32541-8646
Additional practice locations (1)
- 208 Hospital Dr NeFort Walton Beach, FL 32548-5068Phone: (850) 518-3278
Registry dates
- Enumerated
- 2021-01-27
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.