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

Ahmed Bashir Raddad

Individual provider Dentist · NPI 1134747603

Ahmed Bashir Raddad is a Dentist in Connell, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2020

Practice location Address checks out

1051 Columbia Ave
Connell, WA 99326-8702
Phone: (509) 488-5256
Fax: (509) 488-9939
Show map & directions

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

Additional practice locations (1)

  • 100 E Newton St # 707a, Boston, MA 02118-3552 — (617) 358-8360

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE61188502 (WA)

Record details

NPI number1134747603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address1515 E Columbia St, Othello, WA 99344-1846

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