Provider Demographics
NPI:1346231719
Name:KABIR, FAIZUL (DDS)
Entity Type:Individual
Prefix:
First Name:FAIZUL
Middle Name:
Last Name:KABIR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6417 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2336
Mailing Address - Country:US
Mailing Address - Phone:718-424-5797
Mailing Address - Fax:718-424-6760
Practice Address - Street 1:6417 BROADWAY
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2336
Practice Address - Country:US
Practice Address - Phone:718-424-5797
Practice Address - Fax:718-424-6760
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0432971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice