NPI 1467936377 · live from the CMS NPI Registry
Hani Alsibai, BDS
Dentist, Orthodontics and Dentofacial Orthopedics in Bastrop, TX. National Provider Identifier 1467936377, active.
NPI record
| NPI | 1467936377 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 715 Old Austin Hwy Ste 400, Bastrop, TX 78602 |
| Practice phone | 512-212-9803 |
| Mailing address | 10020 Bennett Pl, Eden Prairie, MN 55347 |
| Enumerated | September 18, 2018 |
| Last updated | April 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 34718 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.