Provider Demographics
NPI:1710465117
Name:HAMAD, LEENA ABDEL-QADER (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEENA
Middle Name:ABDEL-QADER
Last Name:HAMAD
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 1:4700 RIVERWOOD CIR APT 339
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5758
Mailing Address - Country:US
Mailing Address - Phone:540-604-4099
Mailing Address - Fax:
Practice Address - Street 1:2024 RENAISSANCE PARK PL
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2262
Practice Address - Country:US
Practice Address - Phone:919-677-1932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC111621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice