Provider Demographics
NPI:1891175469
Name:ALHUSSAIN, REEM IBRAHIM (DDS)
Entity Type:Individual
Prefix:DR
First Name:REEM
Middle Name:IBRAHIM
Last Name:ALHUSSAIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:REEM
Other - Middle Name:IBRAHIM
Other - Last Name:ALHUSSAIN HAMIDADDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8869 OLIVE MAE CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1479
Mailing Address - Country:US
Mailing Address - Phone:571-277-3350
Mailing Address - Fax:
Practice Address - Street 1:1312 CENTENNIAL AVE UNIT 11
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-4324
Practice Address - Country:US
Practice Address - Phone:732-781-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
VA04014157431223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program