Provider Demographics
NPI:1952501132
Name:LABIB, EMIL I (DMD)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:I
Last Name:LABIB
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 43RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-2764
Mailing Address - Country:US
Mailing Address - Phone:973-858-0423
Mailing Address - Fax:
Practice Address - Street 1:1433 43RD ST
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-2764
Practice Address - Country:US
Practice Address - Phone:973-858-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI019595001223G0001X
NJ22D019595031223G0001X
NY050504-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice