IndividualActive
Bana Al Haydar, DDS,MS
NPI 1811669203 · Periodontics · Fredericksburg, VA
Provider details
- NPI number
- 1811669203
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS,MS
- Sex
- Female
- Sole proprietor
- No
- License
- 0401417657 (VA)
Specialties & taxonomies
Dental Providers
Practice location
609 Jefferson Davis Hwy Ste 101
Fredericksburg, VA 22401-4566
Phone: (540) 373-3066
Approximate (ZIP-level) locationGet directions
Mailing address
5500 39th St Nw
Washington, DC 20015-2904
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.