Individual
JOSEPH JAMES SHADEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
722 S SANDUSKY AVE, BUCYRUS, OH 44820-2630
(419) 562-9900
(419) 562-4002
Mailing address
452 PLEASANT LN, BUCYRUS, OH 44820-3123
(419) 562-8826
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-01-4472
OH
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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