Haider Aldally, DMD is a
Dentist - General Practice based in Fruit Cove, Florida. Haider Aldally is licensed to practice in Florida (license number DN28119) and his current practice location is
540 State Road 13 N Ste 101, Fruit Cove, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 217-4019.
NPI number for Haider Aldally is 1023793288 and his current mailing address is 54 Boulder Ln, St Johns, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023793288.
Healthcare Provider's Profile
| Full Name | Haider Aldally |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 540 State Road 13 N Ste 101, Fruit Cove, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023793288
- Provider Enumeration Date: 06/15/2023
- Last Update Date: 07/29/2024
Medical Identifiers
Medical identifiers for Haider Aldally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023793288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN28119 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haider Aldally is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Haider Aldally, DMD
54 Boulder Ln,
St Johns, FL 32259-3296
Ph: (832) 829-3633 | Haider Aldally, DMD
540 State Road 13 N Ste 101,
Fruit Cove, FL 32259-3873
Ph: (904) 217-4019 |
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