Provider Demographics
NPI:1811010960
Name:RABEH H EBEED BDS DDS FAGD
Entity Type:Organization
Organization Name:RABEH H EBEED BDS DDS FAGD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RABEH
Authorized Official - Middle Name:H
Authorized Official - Last Name:EBEED
Authorized Official - Suffix:
Authorized Official - Credentials:BDS DDS FAGD
Authorized Official - Phone:603-883-1929
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3176122300000X
MA20972122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30302548OtherMEDICAID
NH30300941Medicaid