Haneen Abusaad, DDS

Individual provider Active NPI Dentist · Waco, TX

NPI 1831906353 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1831906353
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
40987 (TX)
Practice address
1428 Wooded Acres Dr Ste 126
Waco, TX 76710-4466
Phone
(254) 978-5934
NPI assigned
Dec 17, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
40987TXMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 40987 TX Yes

Addresses

Primary practice location

1428 Wooded Acres Dr Ste 126
Waco, TX 76710-4466

Mailing address

1717 Bison Meadow LN
Heath, TX 75032-5953
Phone (214) 315-2218

Other providers in Waco, TX

All providers in Waco, TX · Dentist in Texas

Sources for this page

Verify at the official NPI Registry.