Provider Demographics
NPI:1881044105
Name:ALNAHASS, BILAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:BILAL
Middle Name:
Last Name:ALNAHASS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 E. US HWY 20
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-5333
Mailing Address - Country:US
Mailing Address - Phone:219-728-1820
Mailing Address - Fax:219-728-1840
Practice Address - Street 1:175 EAST US HWY 20
Practice Address - Street 2:SUITE 8
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-4630
Practice Address - Country:US
Practice Address - Phone:219-728-1820
Practice Address - Fax:219-728-1840
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012778A1223G0001X
IN12012778122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice