Provider Demographics
NPI:1104486315
Name:HADI, AMEER NAJAH HADI (DMD)
Entity type:Individual
Prefix:DR
First Name:AMEER
Middle Name:NAJAH HADI
Last Name:HADI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:AMEER
Other - Middle Name:
Other - Last Name:KUBBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS, MS
Mailing Address - Street 1:515 MULLICA HILL RD APT A106
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-1029
Mailing Address - Country:US
Mailing Address - Phone:713-857-1376
Mailing Address - Fax:
Practice Address - Street 1:1145 E CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5001
Practice Address - Country:US
Practice Address - Phone:856-899-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02761300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist