# ADNAN QAYYUM, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396199956
- **Authorized official:** DR. ADNAN QAYYUM DDS (OWNER)
- **Authorized official phone:** (610) 868-1322

## Contact information

- **Practice address:** 4887 HANOVERVILLE RD, BETHLEHEM, PA 18020-9477
- **Practice address phone:** (610) 868-1322
- **Practice address fax:** (610) 866-3873
- **Mailing address:** 4887 HANOVERVILLE RD, BETHLEHEM, PA 18020-9477
- **Mailing address phone:** (610) 868-1322
- **Mailing address fax:** (610) 866-3873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 04/20/2016