David Philip Deeb, DDS
Individual provider Active NPI Dentist · Calabash, NC
NPI 1164533493 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164533493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5870 (NC)
- Practice address
- 10271 Beach Dr SW
Calabash, NC 28467 - Phone
- (910) 579-5260
- Fax
- (910) 579-0884
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804006062 | NC | Order and Referring Only - Dentist |
2264746254 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5870 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deeb & Fanning DDS PA | Dentist | Past | Accepting new patients |
| Ganglani Calabash PLLC | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5870 | NC | Yes |
Addresses
Primary practice location
10271 Beach Dr SW
Calabash, NC 28467
Mailing address
PO Box 4129
Calabash, NC 28467
Phone (910) 579-5260
Other providers in Calabash, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.