# PHILIP V HABAS DMD PSC

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

## Provider details

- **NPI number:** 1912073719
- **Authorized official:** DR. PHILIP VINCENT HABAS DMD (PRESIDENT)
- **Authorized official phone:** (502) 732-5506

## Contact information

- **Practice address:** 1209 HIGHLAND AVE, SUITE L, CARROLLTON, KY 41008
- **Practice address phone:** (502) 732-5506
- **Mailing address:** PO BOX 88, 1209 HIGHLAND AVE SUITE L, CARROLLTON, KY 41008
- **Mailing address phone:** (502) 732-5506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5694 | KY | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020