Provider Demographics
NPI:1568058568
Name:HUSSAIN, HELINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:HELINA
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47783 TUPELO CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-4798
Mailing Address - Country:US
Mailing Address - Phone:703-973-4709
Mailing Address - Fax:
Practice Address - Street 1:46161 WESTLAKE DR STE 310
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5871
Practice Address - Country:US
Practice Address - Phone:703-444-4188
Practice Address - Fax:703-444-4309
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401417265122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist