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NPI Code Detail

MEDICARE: DR. BASMA ABDELFADEEL HASSANIN DENTAL RESIDENT

MEDICARE:  DR. BASMA ABDELFADEEL HASSANIN  DENTAL RESIDENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist
2122300000XDentist019036759IL
3122300000XDentistRES.004695OH

General Provider Information

NPI Number : 1669156550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BASMA ABDELFADEEL HASSANIN DENTAL RESIDENT
Provider Business Mailing Address
First Line : 4071 LEE RD STE 260
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2173
Country : US
Telephone Number : 216-727-0234
Fax Number :
Provider Business Practice Location Address
First Line : 4071 LEE RD STE 260
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2173
Country : US
Telephone Number : 443-255-6833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 01/14/2026

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Directions to “ DR. BASMA ABDELFADEEL HASSANIN DENTAL RESIDENT” Practice Location

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