Provider Demographics
NPI:1528942109
Name:EID, HADI
Entity type:Individual
Prefix:
First Name:HADI
Middle Name:
Last Name:EID
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:HADI
Other - Middle Name:
Other - Last Name:EID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4 ROBINDALE CT
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1223
Mailing Address - Country:US
Mailing Address - Phone:313-977-1407
Mailing Address - Fax:
Practice Address - Street 1:14024 FORT ST
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1268
Practice Address - Country:US
Practice Address - Phone:734-590-7944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901602777122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist