Provider Demographics
NPI:1265962518
Name:ALSAFI, HIBA ABBAS
Entity type:Individual
Prefix:DR
First Name:HIBA
Middle Name:ABBAS
Last Name:ALSAFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6090 ATKINS DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1327
Mailing Address - Country:US
Mailing Address - Phone:352-871-6579
Mailing Address - Fax:
Practice Address - Street 1:2240 LIVERNOIS RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1664
Practice Address - Country:US
Practice Address - Phone:248-528-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010222821223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry