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NPI Code Detail

MEDICARE: DR. SHANZAE ZAIN FAHEEM BDS, MDS

MEDICARE: DR. SHANZAE ZAIN FAHEEM BDS, MDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X2210XOrofacial Pain Dentistry0401418639VA
21223X2210XOrofacial Pain Dentistry41209TX

General Provider Information

NPI Number : 1689451072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANZAE ZAIN FAHEEM BDS, MDS
Provider Business Mailing Address
First Line : 9560 WAKEFIELD ST
Second Line :
City : FRISCO
State : TX
Zip : 75035-5597
Country : US
Telephone Number : 346-775-1134
Fax Number :
Provider Business Practice Location Address
First Line : 7120 COIT RD STE 110
Second Line :
City : PLANO
State : TX
Zip : 75025-2097
Country : US
Telephone Number : 757-234-7572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2023
Last Update Date : 08/06/2025

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