Provider Demographics
NPI:1386489235
Name:ELHAG, HIND HAMID (DMD)
Entity type:Individual
Prefix:DR
First Name:HIND
Middle Name:HAMID
Last Name:ELHAG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 MAYFIELD FARMS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6167
Mailing Address - Country:US
Mailing Address - Phone:404-992-3079
Mailing Address - Fax:
Practice Address - Street 1:1905 MALL OF GEORGIA BLVD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-5019
Practice Address - Country:US
Practice Address - Phone:678-788-7514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN123469122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist