Provider Demographics
NPI:1427270404
Name:OSSEIRAN, HASAN SAMI (DDS, MS, MAGD)
Entity type:Individual
Prefix:DR
First Name:HASAN
Middle Name:SAMI
Last Name:OSSEIRAN
Suffix:
Gender:M
Credentials:DDS, MS, MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8035 QUARRY RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6953
Mailing Address - Country:US
Mailing Address - Phone:301-767-1912
Mailing Address - Fax:
Practice Address - Street 1:8150 LEESBURG PIKE
Practice Address - Street 2:SUITE 900
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-7715
Practice Address - Country:US
Practice Address - Phone:703-288-4700
Practice Address - Fax:703-288-4242
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008173122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist