Provider Demographics
NPI:1306243811
Name:HASSAM-SARWAR, NATASHA (DDS)
Entity type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:
Last Name:HASSAM-SARWAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:HASSAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:277 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3201
Mailing Address - Country:US
Mailing Address - Phone:518-332-5472
Mailing Address - Fax:
Practice Address - Street 1:2745 N COLLINS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7108
Practice Address - Country:US
Practice Address - Phone:817-438-6186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-26
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30785122300000X
NY0577051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice