Provider Demographics
NPI:1386080208
Name:YOUSSEF, MAGI (DDS)
Entity type:Individual
Prefix:DR
First Name:MAGI
Middle Name:
Last Name:YOUSSEF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SLEEPY DR
Mailing Address - Street 2:#102
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-3317
Mailing Address - Country:US
Mailing Address - Phone:910-497-2969
Mailing Address - Fax:
Practice Address - Street 1:101 SLEEPY DR
Practice Address - Street 2:#102
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-3317
Practice Address - Country:US
Practice Address - Phone:910-497-2969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-18
Last Update Date:2014-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9507122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist