Habib Asmaro
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Newark, DE
NPI 1487008397 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1487008397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- G1-0011516 (DE)
- Practice address
- 4133 Ogletown Stanton Rd FL 2
Newark, DE 19713-4168 - Phone
- (302) 292-1600
- NPI assigned
- Apr 17, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9610 | SC | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9610 | SC | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 9610 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | G1-0011516 | DE | Yes |
Addresses
Primary practice location
4133 Ogletown Stanton Rd FL 2
Newark, DE 19713-4168
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other names
- Habib Habib
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All providers in Newark, DE · Oral and Maxillofacial Surgery (Dentist) in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.