Provider Demographics
NPI:1679205488
Name:GEORGE N. HABEEB, D.D.S., P.C.
Entity Type:Organization
Organization Name:GEORGE N. HABEEB, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:HABEEB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-417-1478
Mailing Address - Street 1:100 SITTERLY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:HALFMOON
Mailing Address - State:NY
Mailing Address - Zip Code:12065-5671
Mailing Address - Country:US
Mailing Address - Phone:518-383-0160
Mailing Address - Fax:518-383-0040
Practice Address - Street 1:100 SITTERLY RD STE 102
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-5671
Practice Address - Country:US
Practice Address - Phone:518-383-0160
Practice Address - Fax:518-383-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty