Provider Demographics
NPI:1780749564
Name:HABIB-CHIANG, ROSE ANN (DMD)
Entity type:Individual
Prefix:
First Name:ROSE ANN
Middle Name:
Last Name:HABIB-CHIANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 COUNTY ROAD 520
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8220
Mailing Address - Country:US
Mailing Address - Phone:732-972-2990
Mailing Address - Fax:
Practice Address - Street 1:59 COUNTY ROAD 520
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8220
Practice Address - Country:US
Practice Address - Phone:732-972-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052180-11223P0221X
NJDI231701223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry