National Provider Identifier
Nisreen H Al Jallad, DDS, MS
Nisreen H Al Jallad, DDS, MS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 275-8315.
Source: public NPPES record, last updated December 12, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1578213880
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 28, 2022
- Last Updated
- December 12, 2023
Practice Location
- 625 Elmwood Ave
- Rochester, NY 14620-2913
Phone: (585) 275-8315
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
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Full Record
- NPI
- 1578213880
- Entity Type
- Individual
- Last Name
- Al Jallad
- First Name
- Nisreen
- Middle Name
- H
- Name Prefix
- Dr.
- Credential
- DDS, MS
- Mailing Street Address
- 625 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2913
- Mailing Country
- US
- Practice Street Address
- 625 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-8315
- Enumeration Date
- March 28, 2022
- Last Updated
- December 12, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 25, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)
- Other Identifiers
- 1976 (NY)