Provider Demographics
NPI:1497985394
Name:HASSID, DAVID M (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:HASSID
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 1:2415 W ALABAMA ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2262
Mailing Address - Country:US
Mailing Address - Phone:713-526-2555
Mailing Address - Fax:713-526-2556
Practice Address - Street 1:2415 W ALABAMA ST
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2262
Practice Address - Country:US
Practice Address - Phone:713-526-2555
Practice Address - Fax:713-526-2556
Is Sole Proprietor?:No
Enumeration Date:2009-07-26
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26334122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist