Provider Demographics
NPI:1598058950
Name:ELSAIE, HANAN ADEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANAN
Middle Name:ADEL
Last Name:ELSAIE
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 1:801 W PARK ROW DR
Mailing Address - Street 2:#250
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3904
Mailing Address - Country:US
Mailing Address - Phone:817-784-7888
Mailing Address - Fax:
Practice Address - Street 1:4932 LORRAINE DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7597
Practice Address - Country:US
Practice Address - Phone:214-901-8319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX191531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice