1215024096 NPI number — DR. SYED HUSSAIN DDS

Table of content: JULIAN WILLIAM LANDAW MD, PHD (NPI 1053990184)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215024096 NPI number — DR. SYED HUSSAIN DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUSSAIN
Provider First Name:
SYED
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215024096
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
320 SOUTH MAIN STREET C/O DENTIST
Provider Second Line Business Mailing Address:
DENTAL HEALTH ASSOCIATES PA CORPORATE OFFICE 2ND FLOOR
Provider Business Mailing Address City Name:
PHILLIPSBURG
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08865
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-387-6120
Provider Business Mailing Address Fax Number:
908-387-8322

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
957 RT 33 & PAXSON AVE HAMILTON SQUARE MALL
Provider Second Line Business Practice Location Address:
DENTAL HEALTH ASSOCIATES PA
Provider Business Practice Location Address City Name:
HAMILTON SQUARE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-587-5858
Provider Business Practice Location Address Fax Number:
609-587-4606
Provider Enumeration Date:
10/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DI022558 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)