Tareq Kamal Haddad, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

14365 Issued in MD

Practice address

110 West Rd Ste 200
Towson, MD 21204-2341

Phone

(410) 296-0136

NPI assigned

Dec 22, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greater Baltimore Prosthodontics PA

  • Prosthodontics
  • Towson, MD
  • NPI 1841287034
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1366688392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST RD STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042341",
            "telephone_number": "410-296-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST RD STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042341",
            "telephone_number": "410-296-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "TAREQ",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14365",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makeyah Guy
• Jarrell Antoine Guyton
• Saleha Habib, MD
• Brittney Hack, LCPC, NCC
• Jessica Hackmann, ED.S
• Jeannette Burke Hadfield, CRNP
• Mohammad Haerian-Ardekani, M.D.
• Kathy Ann Haerian, LCSW C
• Christine Haeseler, OTR/L
• Dieasha Hagans

• Prosthodontics in Towson, MD
• Providers in Towson, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.