Provider Demographics
NPI:1245893643
Name:HUSSAIN, SARAH SAAD (BDS, DMD, MS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SAAD
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:BDS, DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 DAIRY GLEN RD # 412
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4379
Mailing Address - Country:US
Mailing Address - Phone:215-806-6090
Mailing Address - Fax:
Practice Address - Street 1:2700 S MIAMI BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9416
Practice Address - Country:US
Practice Address - Phone:833-333-4679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-21
Last Update Date:2019-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC112981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics