Healthcare Provider Details

I. General information

NPI: 1508772971
Provider Name (Legal Business Name): HANY KURDI DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 LAS POSAS RD STE 206
CAMARILLO CA
93010-1426
US

IV. Provider business mailing address

729 W 15TH ST
CHICAGO IL
60607-5139
US

V. Phone/Fax

Practice location:
  • Phone: 805-482-3214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HANY KURDI
Title or Position: PRESIDENT
Credential: DDS
Phone: 586-871-9873