Provider Demographics
NPI:1447413943
Name:SALEEM, ADNAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:
Last Name:SALEEM
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 1:1745 E HEBRON PKWY STE 124
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-2143
Mailing Address - Country:US
Mailing Address - Phone:972-388-3320
Mailing Address - Fax:
Practice Address - Street 1:1745 E HEBRON PKWY STE 124
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-2143
Practice Address - Country:US
Practice Address - Phone:972-388-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX23934OtherCHIP NUMBER