MEDICARE: MR. SAGHAR QADIR DMD

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
1	1223G0001X	General Practice Dentistry	D012470	AZ

General Provider Information

NPI Number	:	1851119820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SAGHAR QADIR DMD

Provider Business Mailing Address
First Line	:	510 E 23RD ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-5308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5577 N ORACLE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-3877
Country	:	US
Telephone Number	:	703-980-9115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	04/21/2026

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