Provider Demographics
NPI:1003485723
Name:HUSSEINI, NADINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:
Last Name:HUSSEINI
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 1:6831 NIGHTINGALE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2132
Mailing Address - Country:US
Mailing Address - Phone:313-559-7379
Mailing Address - Fax:
Practice Address - Street 1:1325 N CANTON CENTER RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2950
Practice Address - Country:US
Practice Address - Phone:734-896-5069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901601003122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist