Provider Demographics
NPI:1215074695
Name:YOUSSEF, NABIL NAGUIB JR (DMD)
Entity type:Individual
Prefix:
First Name:NABIL
Middle Name:NAGUIB
Last Name:YOUSSEF
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 S MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-1753
Mailing Address - Country:US
Mailing Address - Phone:251-971-1014
Mailing Address - Fax:
Practice Address - Street 1:2130 S MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1753
Practice Address - Country:US
Practice Address - Phone:251-971-1014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL160961223G0001X
ALD.007313-C122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice