Senan Raad-Fadul Najar, D.D.S, M.S.D. MSC

Individual provider Active NPI General Practice Dentistry · Beilingham, WA

NPI 1104141910 · NPPES record last updated Jul 9, 2018

Key facts

NPI
1104141910
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DE60104986 (WA)
Practice address
102 S. Samish Way
Suite 103
Beilingham, WA 98225
Phone
(360) 734-1999
Fax
(360) 734-8822
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DE60104986WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Senan Ahmed DDS PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60104986 WA Yes

Addresses

Primary practice location

102 S. Samish Way
Suite 103
Beilingham, WA 98225

Mailing address

102 S. Samish Way
Suite 103
Bellingham, WA 98225
Phone (360) 734-1999

Sources for this page

Verify at the official NPI Registry.