Healthcare Provider Details

I. General information

NPI: 1396992293
Provider Name (Legal Business Name): HAIFA JAMALEDDINE DENTIST DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 N CENTRAL EXPRESSWAY #585
DALLAS TX
75231
US

IV. Provider business mailing address

9301 N CENTRAL EXPRESSWAY #585
DALLAS TX
75231
US

V. Phone/Fax

Practice location:
  • Phone: 214-823-1183
  • Fax:
Mailing address:
  • Phone: 214-521-3148
  • Fax: 214-521-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number23923
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number23923
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: