Individual
ANDREW H HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
2432 ROSENDALE RD, NISKAYUNA, NY 12309-1310
(518) 817-7861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401419908
VA
1223G0001X
General Practice Dentistry
Primary
12331002-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000561
VA
Other
Enumeration date
06/07/2021
Last updated
07/18/2026
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