NPIMap

Organization Active NPI

Habiba Dental PC

Doing business as Front Royal Dental Group

  • Dentist
  • Front Royal, VA
National Provider Identifier
1366873127
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412811 Issued in VA
Legal business name
HABIBA DENTAL PC
Doing business as
Front Royal Dental Group
Practice address
1516 N Shenandoah Ave
Suite B
Front Royal, VA 22630-3648
Phone
(540) 636-2003
Fax
(540) 636-2004
NPI assigned
Dec 4, 2013
Last updated
Dec 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ezzat Abdoun, DDS
Title
Owner
Phone
(540) 295-3598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412811 VA Primary

Addresses

Primary practice location

1516 N Shenandoah Ave
Suite B
Front Royal, VA 22630-3648

Mailing address

1516 N Shenandoah Ave
Suite B
Front Royal, VA 22630-3648
Phone (540) 636-2003

Other names 1

  • Front Royal Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1516 N Shenandoah Ave
Ste B
Front Royal, VA 22630
Phone (540) 636-2003

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1366873127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 N SHENANDOAH AVE",
            "address_2": "SUITE B",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303648",
            "telephone_number": "540-636-2003",
            "fax_number": "540-636-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 N SHENANDOAH AVE",
            "address_2": "SUITE B",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303648",
            "telephone_number": "540-636-2003",
            "fax_number": "540-636-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIBA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "ABDOUN",
        "authorized_official_first_name": "EZZAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-295-3598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Royal Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.