Provider Demographics
NPI:1114221322
Name:ARBAB, HUSSAIN (BDS)
Entity Type:Individual
Prefix:DR
First Name:HUSSAIN
Middle Name:
Last Name:ARBAB
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13403 E 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-3196
Mailing Address - Country:US
Mailing Address - Phone:586-979-2800
Mailing Address - Fax:
Practice Address - Street 1:13403 E 13 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-3196
Practice Address - Country:US
Practice Address - Phone:586-979-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53150756761223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics