Rabeh H Ebeed BDS DDS Fagd

Primary specialty

DentistTaxonomy code 122300000X

License

3176 Issued in NH

Legal business name

RABEH H EBEED BDS DDS FAGD

Practice address

36 Library St
Hudson, NH 03051

Phone

(603) 883-1929

Fax

(603) 595-4887

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rabeh H Ebeed, BDS DDS FAGD

Title

Owner

Phone

(603) 883-1929

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811010960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LIBRARY ST",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "03051",
            "telephone_number": "603-883-1929",
            "fax_number": "603-595-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LIBRARY ST",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "03051",
            "telephone_number": "603-883-1929",
            "fax_number": "603-595-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABEH H EBEED BDS DDS FAGD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBEED",
        "authorized_official_first_name": "RABEH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-883-1929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BDS DDS FAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "3176",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "30302548",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30300941",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hudson, NH
• Providers in Hudson, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.