IndividualActive
Al Haitham Al Shetawi, DMD, MD
NPI 1871760314 · Oral & Maxillofacial Surgery (D.M.D.) · Poughkeepsie, NY
Provider details
- NPI number
- 1871760314
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- No
- License
- 054793 (NY)
Practice location
45 Reade Pl
Dyson Center, 3rd Floor
Poughkeepsie, NY 12601-3947
Phone: (845) 483-6920
Mailing address
1351 Route 55
Lagrangeville, NY 12540-5128
Registry dates
- Enumerated
- 2008-05-14
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.