Provider Demographics
NPI:1053601443
Name:HABEEB, MIRIAM HELEN (DMD)
Entity type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:HELEN
Last Name:HABEEB
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1747 MEDICAL CENTER PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2579
Mailing Address - Country:US
Mailing Address - Phone:615-225-0700
Mailing Address - Fax:615-225-0701
Practice Address - Street 1:1747 MEDICAL CENTER PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2579
Practice Address - Country:US
Practice Address - Phone:615-225-0700
Practice Address - Fax:615-225-0701
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000091421223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics