Provider Demographics
NPI:1831906353
Name:ABUSAAD, HANEEN (DDS)
Entity type:Individual
Prefix:
First Name:HANEEN
Middle Name:
Last Name:ABUSAAD
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 1:1717 BISON MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-5953
Mailing Address - Country:US
Mailing Address - Phone:214-315-2218
Mailing Address - Fax:
Practice Address - Street 1:1428 WOODED ACRES DR STE 126
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4466
Practice Address - Country:US
Practice Address - Phone:254-978-5934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40987122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty