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NPI Code Detail

MEDICARE: HANAN G. YOUSSEF D.D.S.

MEDICARE: HANAN G. YOUSSEF D.D.S.
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
11223G0001XGeneral Practice Dentistry6483-15WI
2122300000XDentist019026945IL

General Provider Information

NPI Number : 1811088040
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANAN G. YOUSSEF D.D.S.
Provider Business Mailing Address
First Line : 10620 N WOOD CREST DR
Second Line :
City : MEQUON
State : WI
Zip : 53092-6418
Country : US
Telephone Number : 414-587-9114
Fax Number : 262-512-1827
Provider Business Practice Location Address
First Line : 3520 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4175
Country : US
Telephone Number : 414-587-9114
Fax Number : 262-512-1827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 02/03/2026

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