Provider Demographics
NPI:1205927886
Name:RASHAD, NIA F (DDS)
Entity type:Individual
Prefix:DR
First Name:NIA
Middle Name:F
Last Name:RASHAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 EASTRIDGE LN
Mailing Address - Street 2:KNOLL ACRES II
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302-7102
Mailing Address - Country:US
Mailing Address - Phone:570-369-6885
Mailing Address - Fax:
Practice Address - Street 1:3926 NAZARETH PIKE UNIT 24
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-1116
Practice Address - Country:US
Practice Address - Phone:570-369-6885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0374221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020940810002Medicaid