Healthcare Provider Details

I. General information

NPI: 1659204535
Provider Name (Legal Business Name): YOUSIF AL DULAIMI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 N 7TH ST
PHOENIX AZ
85014-3804
US

IV. Provider business mailing address

3315 E FRANKLIN AVE
GILBERT AZ
85295-3403
US

V. Phone/Fax

Practice location:
  • Phone: 602-845-5730
  • Fax:
Mailing address:
  • Phone: 520-257-8989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD012846
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: