Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadie R. Azar, DMD, Msd, PC

Organization Dental Clinic/Center · NPI 1578136578

Shadie R. Azar, DMD, Msd, PC is a Dental Clinic/Center in Upland, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 E 7th St Ste D
Upland, CA 91786-6603
Phone: (909) 982-4169
Fax: (909) 981-2149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1578136578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shadie Azar — Practice Owner · (909) 982-4169
Other names Azar&Kepic Periodontics&Dental Implants
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address250 E 7th St Ste D, Upland, CA 91786-6603

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