Provider Demographics
NPI:1831865187
Name:HAMADEH, HOUDA (DDS)
Entity type:Individual
Prefix:DR
First Name:HOUDA
Middle Name:
Last Name:HAMADEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26934 ROCHELLE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3672
Mailing Address - Country:US
Mailing Address - Phone:313-673-4516
Mailing Address - Fax:
Practice Address - Street 1:6950 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4503
Practice Address - Country:US
Practice Address - Phone:313-584-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901600985122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist