DR. HEBA ELKASSABY BDS DMD MDSC NPI 1124403795

NPI Information

NPI: 1124403795
Provider Name: DR. HEBA ELKASSABY, BDS, DMD, MDSC
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
110 BERGEN ST RM C-703
NEWARK, NJ
ZIP 07103
Phone: (347) 446-3873
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DR. Heba Elkassaby, BDS, DMD, MDSC is a prosthodontics dentist in Newark, NJ. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Heba Elkassaby, BDS, DMD, MDSC NPI is 1124403795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 BERGEN ST RM C-703
NEWARK, NJ
ZIP 07103-495
Phone: (347) 446-3873

The enumeration date for this NPI number is 7/24/2015 and was last updated on 6/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	22DI02797800	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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