Fadia Salem Bazina

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019.037046 Issued in IL

Practice address

2800 College Ave
Alton, IL 62002-4742

Phone

(618) 474-7052

NPI assigned

Jul 15, 2026

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1396665964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAGNOLIA DR UNIT 1209",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341589",
            "telephone_number": "404-903-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024742",
            "telephone_number": "618-474-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZINA",
        "first_name": "FADIA",
        "middle_name": "SALEM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.037046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Pulaski Barton, M.D.
• Penny Ruth Barton, RPH
• Abbigail Suzanne Battuello
• Ashley Baugh, LCSW, MPH
• Chase Andrew Baxter, DO
• BC Illinois Emergency Physicians, LLP
• Kelsey M Beard, FNP-BC, DNP
• Deborah Beavers
• Jared Thomas Beck, OTR/L
• Nicholas Beeler

• Pediatric Dentistry in Alton, IL
• Providers in Alton, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.