MEDICARE: HUSSAM GHARRAPH DDS

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
1	1223P0221X	Pediatric Dentistry	29173	TX

General Provider Information

NPI Number	:	1902965940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUSSAM GHARRAPH DDS

Provider Business Mailing Address
First Line	:	3851 SW GREEN OAKS BLVD STE 123
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4130
Country	:	US
Telephone Number	:	909-709-8822
Fax Number	:

Provider Business Practice Location Address
First Line	:	3851 SW GREEN OAKS BLVD STE 123
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4130
Country	:	US
Telephone Number	:	909-709-8822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	06/18/2026

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