Healthcare Provider Details

I. General information

NPI: 1023635398
Provider Name (Legal Business Name): YASMIN HUSSEIN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 SW HOLLYWOOD DR
LEES SUMMIT MO
64082-7830
US

IV. Provider business mailing address

1270 W AMITY ST
LOUISBURG KS
66053-7815
US

V. Phone/Fax

Practice location:
  • Phone: 816-944-1698
  • Fax:
Mailing address:
  • Phone: 913-214-8482
  • Fax: 913-215-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number61669
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2023026838
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: