Provider Demographics
NPI:1558469494
Name:HABBEL, HARRY LAMONTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LAMONTE
Last Name:HABBEL
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 1:57 STREET RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3100
Mailing Address - Country:US
Mailing Address - Phone:215-357-1180
Mailing Address - Fax:215-357-1766
Practice Address - Street 1:57 STREET RD
Practice Address - Street 2:SUITE M
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3100
Practice Address - Country:US
Practice Address - Phone:215-357-1180
Practice Address - Fax:215-357-1766
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022868L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice