Provider Demographics
NPI:1770656092
Name:EBEED, RABEH HASSAN (BDS DDS)
Entity Type:Individual
Prefix:
First Name:RABEH
Middle Name:HASSAN
Last Name:EBEED
Suffix:
Gender:M
Credentials:BDS DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 LIBRARY ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051
Mailing Address - Country:US
Mailing Address - Phone:603-883-1929
Mailing Address - Fax:603-595-4887
Practice Address - Street 1:36 LIBRARY ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051
Practice Address - Country:US
Practice Address - Phone:603-883-1929
Practice Address - Fax:603-595-4887
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH3176122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH024002683NH02OtherBCBS
NH30300941Medicaid
NH30302548Medicaid