Provider Demographics
NPI:1376031203
Name:ABDULHADI, HIBA (BDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:HIBA
Middle Name:
Last Name:ABDULHADI
Suffix:
Gender:F
Credentials:BDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E MAIN ST STE 131
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5118
Mailing Address - Country:US
Mailing Address - Phone:845-342-5866
Mailing Address - Fax:
Practice Address - Street 1:1748 BRUCE B DOWNS BLVD STE 125
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-8640
Practice Address - Country:US
Practice Address - Phone:813-907-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0616731223P0221X
FLDN275301223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry