Provider Demographics
NPI:1841418316
Name:HABEEB, GEORGE NASSER (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:NASSER
Last Name:HABEEB
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 1:100 SITTERLY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLIFTON PARK
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
Practice Address - Street 2:SUITE 102
Practice Address - City:CLIFTON PARK
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049451-21223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics