DR. IQUEBAL HASAN (NPI# 1255657441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255657441 |
| Entity Type | Individual |
| Full Name | DR. IQUEBAL HASAN |
| Credential | DDS |
| Practice Address |
1851 Macgregor Downs Rd Mail Stop #701 Greenville NC 27834-5925 |
| Mailing Address |
1851 Macgregor Downs Ro Mail Stop #701 Ecu School of Dental Medicine Greenville NC 27834-0297 |
| Practice Telephone | 2527377158 |
| Practice Fax Number | 2527377049 |
| Mailing Telephone | 2527377158 |
| Mailing Fax Number | 2527377049 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 00175 | NC | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
00175 | NC | Dental Providers |
| N | 125Q00000X | Oral Medicinist | 0175 | NC | Dental Providers |
| Y | 125Q00000X | Oral Medicinist | 00175 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100301160 | 05 |
| Street Address |
1851 MACGREGOR DOWNS RD MAIL STOP #701 |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117252 | Bobby Mcmanus Collins II | Dentist | 1851 Macgregor Downs Rd, East Carolina University School of Dental Medicine, Greenville, NC 27834-5925 | 2005-10-12 |
| 1790393833 | Kristal Amalia Tucker | Dentist | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-07-15 |
| 1598381428 | Ashley Cole | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1407472335 | Mirna Azer Rezkalla | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1144845041 | Natalie Kirkman | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1093330995 | Megan Millon | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1902421803 | Melissa Marie Mertely | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1184249096 | Vinh Quang Dang | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1730704651 | Nadia Ali Ata | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| 1487279386 | Brittany Taylor Hewett | Student in an Organized Health Care Education/Training Program | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 125Q00000X |
| Grouping | Dental Providers |
| Classification | Oral Medicinist |
| A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention. |
| Notes: Source: National Uniform Claim Committee [1/1/2015: new] Additional Resources: American Academy of Oral Medicine |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093879363 | Mountain Area Health Education Center, Inc. | Oral Medicinist | 123 Hendersonville Rd, Asheville, NC 28803-2868 | 2006-12-21 |
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DR. IQUEBAL HASAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.