Provider Demographics
NPI:1144316126
Name:QUERESHY, FAISAL A (MD, DDS, FACS)
Entity type:Individual
Prefix:DR
First Name:FAISAL
Middle Name:A
Last Name:QUERESHY
Suffix:
Gender:M
Credentials:MD, DDS, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3591 RESERVE COMMONS DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256
Mailing Address - Country:US
Mailing Address - Phone:330-721-2323
Mailing Address - Fax:330-721-1344
Practice Address - Street 1:3591 RESERVE COMMONS DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256
Practice Address - Country:US
Practice Address - Phone:330-721-2323
Practice Address - Fax:330-721-1344
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-10031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery