Provider Demographics
NPI:1982875399
Name:M SWEID DDS PC
Entity Type:Organization
Organization Name:M SWEID DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOUSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEID-HALABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-384-2500
Mailing Address - Street 1:341 WALLABOUT ST
Mailing Address - Street 2:#1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4317
Mailing Address - Country:US
Mailing Address - Phone:718-384-2500
Mailing Address - Fax:
Practice Address - Street 1:341 WALLABOUT ST
Practice Address - Street 2:#1B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4317
Practice Address - Country:US
Practice Address - Phone:718-384-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049980122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty