Healthcare Provider Details

I. General information

NPI: 1851119820
Provider Name (Legal Business Name): SAGHAR QADIR DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5577 N ORACLE RD
TUCSON AZ
85704-3877
US

IV. Provider business mailing address

7990 E SNYDER RD APT 3103
TUCSON AZ
85750-9003
US

V. Phone/Fax

Practice location:
  • Phone: 703-980-9115
  • Fax:
Mailing address:
  • Phone: 703-980-9115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012470
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: