Ennabi, Haitham

Ennabi, Haitham is an individual health care provider with primary practice located at 942 Route 376 Suite #13 Summerlin Plaza, Wappingers Falls NY 12590-6483. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Ennabi, Haitham can be contacted via phone (845) 227-1996.

Contact Information

Primary practice address
942 Route 376 Suite #13 Summerlin Plaza Wappingers Falls NY 12590-6483
Phone: (845) 227-1996
Fax: (845) 226-2865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 049866 New York
Dental Providers / General Practice 1223G0001X 049866 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 049866 New York

Profile Details

NPI number 1437174398
LBN Legal business name Ennabi, Haitham
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437174398 NPPES
New York MEDICAID 02254942

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