# JAMES D. HABERMAN, JR. DDS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235777400
- **Authorized official:** DR. JAMES DALE HABERMAN JR. DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (206) 542-7557

## Contact information

- **Practice address:** 9529 244TH ST SW, EDMONDS, WA 98020-6527
- **Practice address phone:** (206) 542-7557
- **Practice address fax:** (206) 546-2214
- **Mailing address:** 9529 244TH ST SW, EDMONDS, WA 98020-6527
- **Mailing address phone:** (206) 542-7557
- **Mailing address fax:** (206) 546-2214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2019
- **Last updated:** 12/18/2019