Provider Demographics
NPI:1609073105
Name:ALREZ, HADEEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:HADEEL
Middle Name:
Last Name:ALREZ
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 1:6 DICKINSON DR
Mailing Address - Street 2:SUITE #116
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9689
Mailing Address - Country:US
Mailing Address - Phone:610-358-0313
Mailing Address - Fax:610-358-0595
Practice Address - Street 1:6 DICKINSON DR
Practice Address - Street 2:SUITE #116
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9689
Practice Address - Country:US
Practice Address - Phone:610-358-0313
Practice Address - Fax:610-358-0595
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-030962-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231706010OtherTAX ID NUMBER