Individual
HAITHAM ENNABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
942 ROUTE 376, SUITE #13 SUMMERLIN PLAZA, WAPPINGERS FALLS, NY 12590-6483
(845) 227-1996
(845) 226-2865
Mailing address
942 ROUTE 376, SUITE #13 SUMMERLIN PLAZA, WAPPINGERS FALLS, NY 12590-6483
(845) 227-1996
(845) 226-2865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049866
NY
1223G0001X
General Practice Dentistry
049866
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
049866
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02254942
—
NY
Enumeration date
07/13/2006
Last updated
09/11/2025
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