Provider Demographics
NPI:1497908081
Name:HADI, NABA SUHAIL (DMD)
Entity Type:Individual
Prefix:DR
First Name:NABA
Middle Name:SUHAIL
Last Name:HADI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3616
Mailing Address - Country:US
Mailing Address - Phone:973-777-2731
Mailing Address - Fax:973-777-1077
Practice Address - Street 1:1066 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3616
Practice Address - Country:US
Practice Address - Phone:973-777-2731
Practice Address - Fax:973-777-1077
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02353300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist