IndividualActive
Fadi Shaya, DMD, MSD
NPI 1285295022 · Periodontics · Seattle, WA
Provider details
- NPI number
- 1285295022
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD, MSD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE60886789 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2111 N Northgate Way Ste 215
Seattle, WA 98133-9018
Phone: (206) 367-6767
Approximate (ZIP-level) locationGet directions
Mailing address
2111 N Northgate Way Ste 215
Seattle, WA 98133-9018
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.