Provider Demographics
NPI:1275761447
Name:HELAL, DEEB (DMD)
Entity Type:Individual
Prefix:MR
First Name:DEEB
Middle Name:
Last Name:HELAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PARMENTER RD
Mailing Address - Street 2:UNIT A2
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053
Mailing Address - Country:US
Mailing Address - Phone:603-893-7601
Mailing Address - Fax:603-890-1179
Practice Address - Street 1:12 PARMENTER RD
Practice Address - Street 2:UNIT A2
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053
Practice Address - Country:US
Practice Address - Phone:603-893-7601
Practice Address - Fax:603-890-1179
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH039711223S0112X
MADL10580390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery