# NAIOOM DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093314775
- **Authorized official:** DR. FADI NAIOOM DMD (OWNER)
- **Authorized official phone:** (480) 993-6174

## Contact information

- **Practice address:** 2158 N GILBERT RD, MESA, AZ 85203-2109
- **Practice address phone:** (480) 993-6174
- **Mailing address:** 2158 N GILBERT RD, MESA, AZ 85203-2109
- **Mailing address phone:** (480) 993-6174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 10/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 944049 | — | AZ |