Nizam Jabbour DDS PC
Dentist, General Practice in Poughkeepsie, NY. Organization (NPI-2).
NPI number1760185656
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1760185656
- Entity type
- Organization (NPI-2)
- Legal business name
- Nizam Jabbour DDS PC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2023
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
153 Academy StPoughkeepsie, NY 12601-4567
Phone 845-454-0560
Mailing address
2 Clarinbridge CtHopewell Junction, NY 12533-3325
Phone 845-454-0560
Authorized official
Nizam Jabbour
DDS
8454540560
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