National Provider Identifier
Fady Barsoum, DDS
Fady Barsoum, DDS is listed in the NPPES registry with a primary specialty of Dentist in Amherst, NY and a listed phone number of (716) 508-4547.
Profile Overview
- NPI
- 1033856703
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- May 16, 2022
- Last Updated
- October 11, 2023
Practice Location
- 3500 Sheridan Dr
- Amherst, NY 14226-1548
Phone: (716) 508-4547
Mailing Address
- 1100 Tuesman Way
- Oakville, Ontario 678
- CA
Specialties
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1033856703
- Entity Type
- Individual
- Last Name
- Barsoum
- First Name
- Fady
- Credential
- DDS
- Mailing Street Address
- 1100 Tuesman Way
- Mailing City
- Oakville
- Mailing State
- Ontario
- Mailing ZIP Code
- 678
- Mailing Country
- CA
- Practice Street Address
- 3500 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1548
- Practice Country
- US
- Practice Phone
- (716) 508-4547
- Enumeration Date
- May 16, 2022
- Last Updated
- October 11, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)