Provider Demographics
NPI:1265042980
Name:HAMAD, HUSSAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUSSAM
Middle Name:
Last Name:HAMAD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 VANDERBILT DR APT 408
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4263
Mailing Address - Country:US
Mailing Address - Phone:248-421-9814
Mailing Address - Fax:
Practice Address - Street 1:159 MAIN DUNSTABLE RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3642
Practice Address - Country:US
Practice Address - Phone:603-882-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04585122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist