Provider Demographics
NPI:1760595268
Name:HUSSAIN, HANIF (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANIF
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14465 WEBB CHAPEL RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3659
Mailing Address - Country:US
Mailing Address - Phone:972-247-8162
Mailing Address - Fax:972-247-2309
Practice Address - Street 1:14465 WEBB CHAPEL RD
Practice Address - Street 2:SUITE 203
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3659
Practice Address - Country:US
Practice Address - Phone:972-247-8162
Practice Address - Fax:972-247-2309
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice