DR. SYED ALI RAZA FAHIM (NPI# 1114410065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114410065 |
| Entity Type | Individual |
| Full Name | DR. SYED ALI RAZA FAHIM |
| Credential | DMD |
| Practice Address |
351 W Schuylkill Rd Ste G15a Pottstown PA 19465-7438 |
| Mailing Address |
354 Waterloo Blvd Unit 502 Exton PA 19341-2676 |
| Practice Telephone | 4849483097 |
| Mailing Telephone | 9737472880 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS042183 | PA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Stony Brook School of Dental Medicine, 151 Westchester Hall, Stony Brook, NY 11794 | 6314442557 | 6314446013 |
| Street Address |
351 W SCHUYLKILL RD STE G15A |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19465-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891337861 | Mary Ann Uebelhoer | Pharmacist | Giant Pharmacy #6471, 88 Glocker Way, Pottstown, PA 19465 | 2019-10-11 |
| 1538286844 | Ellen Marie Waverka | Occupational Therapist | 30 Old Schuylkill Road, Pottstown, PA 19465 | 2007-03-23 |
| 1487662094 | Bernard M Pach | Optometrist | 351 W Schuylkill Rd, Pearle Vision, Pottstown, PA 19465 | 2006-08-03 |
| 1548277577 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 351 W. Schuykill Road., Pottstown, PA 19465 | 2006-08-02 |
| 1033142963 | Springfield Eye Associates, PC | Optometrist | Routes 724 & 100, Lenscrafters In Coventry Mall-space H16, Pottstown, PA 19465 | 2006-07-07 |
| 1457395626 | Joshua B Williamson | Pediatrics | 730 South Hanover Street, Pottstown, PA 19465 | 2006-06-16 |
| 1720088404 | Dana Nicole Adelizzi | Physical Therapist | 10 Glocker Way, Pottstown, PA 19465 | 2005-07-26 |
| 1245757145 | Jessica Marie Treskolaski | Speech-Language Pathologist | 30 Old Schuylkill Road, Pottstown, PA 19465 | 2017-08-23 |
| 1346792967 | Christina Bernal | Physical Therapist | 3031 Chestnut Hill Rd, Pottstown, PA 19465 | 2016-10-31 |
| 1477979466 | Krista Marie Dankiw-ludwig | Obstetrics & Gynecology | 351 W Schuylkill Rd Ste G-15a, Pottstown, PA 19465 | 2014-03-14 |
| Find all providers in zip 19465 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679725253 | Jonathan P Powell | Dentist | 1590 Medical Dr., Suite D, Pottstown, PA 19464 | 2008-10-15 |
| 1922270552 | Dr Jc Patel & Associates | Dentist | 620 E High St, Pottstown, PA 19464-5782 | 2008-03-24 |
| 1417075953 | Philip Frank Maddaloni | Dentist | 1325 East High St, Pottstown, PA 19464-4949 | 2007-03-26 |
| 1356472997 | Lawrence J Gribb | Dentist | 123 N Hanover St, Pottstown, PA 19464-5411 | 2007-03-07 |
| 1184750499 | Michael G. Marwick D.d.s., Monica Kargl Marwick, D.d.s., P.C. | Dentist | 100 Porter Rd, Suite 105, Pottstown, PA 19464-3240 | 2007-02-23 |
| 1306988332 | August Andrew Denicco | Dentist | 554 E High St, Pottstown, PA 19464-5690 | 2007-02-13 |
| 1134266448 | Carl J Pardini | Dentist | 625 N Charlotte Street, Pottstown, PA 19464 | 2007-01-30 |
| 1649330705 | Pottstown Family Dental Spa | Dentist | 728 East High Street, Pottstown, PA 19464 | 2006-12-11 |
| 1518034230 | Michael S Agabegi | Dentist | 348 E High St, Pottstown, PA 19464-5660 | 2006-11-29 |
| 1144310228 | Raymond Faust Tinucci | Dentist | 703 E High St, Pottstown, PA 19464-5728 | 2006-10-13 |
| Find all providers in POTTSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.