Elmissir, Hatem Hussein

Elmissir, Hatem Hussein is an individual health care provider with primary practice located at 1005 Commack Rd , Dix Hills NY 11746. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Elmissir, Hatem Hussein can be contacted via phone (631) 254-8240.

Contact Information

Primary practice address
1005 Commack Rd Dix Hills NY 11746
Phone: (631) 254-8240
Fax: (631) 254-8214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0517781 New York
Dental Providers / General Practice 1223G0001X DDS109929 California

Profile Details

NPI number 1437299922
LBN Legal business name Elmissir, Hatem Hussein
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jun 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437299922 NPPES
New York MEDICAID 02630308

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