Provider Demographics
NPI:1003129099
Name:AHMED EL-HALABY, D.D.S., M.S.D, PC
Entity Type:Organization
Organization Name:AHMED EL-HALABY, D.D.S., M.S.D, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-HALABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-218-8881
Mailing Address - Street 1:1001 LAKE CAROLYN PKWY
Mailing Address - Street 2:#513
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4806
Mailing Address - Country:US
Mailing Address - Phone:216-218-8881
Mailing Address - Fax:
Practice Address - Street 1:900 N BLUE MOUND RD
Practice Address - Street 2:#128
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76131-4810
Practice Address - Country:US
Practice Address - Phone:216-218-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248461223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty