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General NPI Number Information
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NPI Number | 1902784788
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Entity Type | Organization
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Legal Business Name | S H AL-MAHDI DDS, PLLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 10512 PARK RD STE 210
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City | CHARLOTTE
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State | NC
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Zip | 28210-8469
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Country | US
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Telephone | 919-943-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 215 N PINE ST UNIT 3002
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City | CHARLOTTE
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State | NC
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Zip | 28202-2486
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Country | US
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Telephone | 919-943-9907
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST/OWNER
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Name | DR. SIRAJ AL-MAHDI
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Credential | DDS
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Telephone | 919-943-9907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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