Husham A Gabralla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13762 Issued in MD

Practice address

7939 Honeygo Blvd Ste 103
Nottingham, MD 21236-5991

Phone

(443) 510-6651

Fax

(410) 670-4653

NPI assigned

Dec 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1609050509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD STE 103",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365991",
            "telephone_number": "443-510-6651",
            "fax_number": "410-670-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD STE 103",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365991",
            "telephone_number": "443-510-6651",
            "fax_number": "410-670-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRALLA",
        "first_name": "HUSHAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilissa Frye
• Lacreasha Fullard, CRNP-PMH
• Karen R Fullwood, HIS
• Natalia Fulton
• Myeisha Furr, NP
• Ashley Smith Gallant, LCPC
• Ashley Gamatoria, LCSW-C
• Susan Bernice Gardner-Seitz, FNP-BC
• Sarah C Gardner, CRNP
• Seyonna Gaskins

• General Practice Dentistry in Nottingham, MD
• Providers in Nottingham, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.