Provider Demographics
NPI:1043449648
Name:HOSSAIN, ADNAN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:A
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 SMITH RIDGE TRCE
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-2646
Mailing Address - Country:US
Mailing Address - Phone:646-402-5670
Mailing Address - Fax:
Practice Address - Street 1:3110 SMITH RIDGE TRCE
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-2646
Practice Address - Country:US
Practice Address - Phone:646-402-5670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013918122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist