Provider Demographics
NPI:1821611088
Name:GHID DENTAL PLLC
Entity Type:Organization
Organization Name:GHID DENTAL PLLC
Other - Org Name:HOME DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSSAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOBAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-752-0314
Mailing Address - Street 1:21040 HIGHLAND KNOLLS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1581
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21040 HIGHLAND KNOLLS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1570
Practice Address - Country:US
Practice Address - Phone:281-752-0314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346997503Medicaid