Provider Demographics
NPI:1891750659
Name:HASEEB, NADEEM U (DDS)
Entity Type:Individual
Prefix:DR
First Name:NADEEM
Middle Name:U
Last Name:HASEEB
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 1:1722 SWEETWATER RD STE C
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-7646
Mailing Address - Country:US
Mailing Address - Phone:619-336-1974
Mailing Address - Fax:619-336-1976
Practice Address - Street 1:1722 SWEETWATER RD STE C
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-7646
Practice Address - Country:US
Practice Address - Phone:619-336-1974
Practice Address - Fax:619-336-1976
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ170121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice