Provider Demographics
NPI:1871222950
Name:ABDULLAH, SAMMY HASSAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMMY
Middle Name:HASSAN
Last Name:ABDULLAH
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 1:604 W EULESS BLVD
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-4429
Mailing Address - Country:US
Mailing Address - Phone:940-249-9089
Mailing Address - Fax:
Practice Address - Street 1:604 W EULESS BLVD
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-4429
Practice Address - Country:US
Practice Address - Phone:817-881-0559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38822122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist