Provider Demographics
NPI:1356588107
Name:ABDEL-SALAM, NOHA (DDS,MSD)
Entity type:Individual
Prefix:
First Name:NOHA
Middle Name:
Last Name:ABDEL-SALAM
Suffix:
Gender:
Credentials:DDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 EDGEWATER CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3860
Mailing Address - Country:US
Mailing Address - Phone:503-999-2751
Mailing Address - Fax:
Practice Address - Street 1:26785 E UNIVERSITY DR STE 200
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-0219
Practice Address - Country:US
Practice Address - Phone:503-999-2751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX290011223P0221X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry