Provider Demographics
NPI:1902794480
Name:ABDELHAK, NADINE HUSSEIN (DMD)
Entity type:Individual
Prefix:DR
First Name:NADINE
Middle Name:HUSSEIN
Last Name:ABDELHAK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 N GULLEY RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3438
Mailing Address - Country:US
Mailing Address - Phone:313-715-2425
Mailing Address - Fax:
Practice Address - Street 1:5601 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4713
Practice Address - Country:US
Practice Address - Phone:313-582-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016026541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice