Provider Demographics
NPI:1386813244
Name:OUEIS, HASSAN SAMI (DDS)
Entity type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:SAMI
Last Name:OUEIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13519 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3510
Mailing Address - Country:US
Mailing Address - Phone:313-633-9318
Mailing Address - Fax:313-633-9374
Practice Address - Street 1:13519 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3510
Practice Address - Country:US
Practice Address - Phone:313-633-9318
Practice Address - Fax:313-633-9374
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1237960122300000X
MI29010193691223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist