Hazem Abdelaal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044802 Issued in PA

Practice address

5003 Edgmont Ave
Brookhaven, PA 19015-1202

Phone

(484) 632-6205

NPI assigned

Jul 17, 2023

Last updated

Jul 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1972282903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 PARK AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209621",
            "telephone_number": "484-632-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190151202",
            "telephone_number": "484-632-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELAAL",
        "first_name": "HAZEM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absolute Chiropractic (Absolute Chiropractic PC)
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• Access Home Health Services LLC
• Adek Lux
• Samaa Adeli, DMD

• General Practice Dentistry in Brookhaven, PA
• Providers in Brookhaven, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.