Provider Demographics
NPI:1417973843
Name:HALPERN, DAVID FAUST (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FAUST
Last Name:HALPERN
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 1:10630 LITTLE PATUXENT PARKWAY
Mailing Address - Street 2:STE 104
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044
Mailing Address - Country:US
Mailing Address - Phone:410-730-7485
Mailing Address - Fax:410-730-8963
Practice Address - Street 1:10630 LITTLE PATUXENT PARKWAY
Practice Address - Street 2:STE 104
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-730-7485
Practice Address - Fax:410-730-8963
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5897122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist