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

Dr. Fawaz Omar Shihadeh, DDS

Individual provider Pediatric Dentistry · NPI 1053815282

Dr. Fawaz Omar Shihadeh, DDS is a Pediatric Dentistry in Bronx, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
Show map & directions

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

Additional practice locations (2)

  • 55 Old Nyack Tpke Ste 109, Nanuet, NY 10954-2449 — (845) 507-0100
  • 243 North Rd Ste 102, Poughkeepsie, NY 12601-1173 — (845) 454-3025

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 061580-01 (NY)

Record details

NPI number1053815282
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

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