Provider Demographics
NPI:1881695674
Name:YOUSSEF, HESHAM ABOU (DDS DHSC)
Entity type:Individual
Prefix:DR
First Name:HESHAM
Middle Name:ABOU
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:DDS DHSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 S DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3416
Mailing Address - Country:US
Mailing Address - Phone:303-337-0304
Mailing Address - Fax:303-368-9079
Practice Address - Street 1:12200 E CORNELL AVE
Practice Address - Street 2:SUITE E
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3423
Practice Address - Country:US
Practice Address - Phone:303-337-0304
Practice Address - Fax:303-368-9079
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO71511223E0200X
CA521411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics