MARYAM HABIBZADEH (NPI# 1396356937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396356937 |
| Entity Type | Individual |
| Full Name | MARYAM HABIBZADEH |
| Credential | DMD |
| Practice Address |
5024 Keystone Blvd Ste A Covington LA 70433-7517 |
| Mailing Address |
1314 America St Mandeville LA 70448-4120 |
| Practice Telephone | 9857780241 |
| Mailing Telephone | 5173484842 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7128 | LA | Dental Providers |
| Street Address |
5024 KEYSTONE BLVD STE A |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386842995 | Caesar Sweidan | Dentist | 5024 Keystone Blvd Ste A, Covington, LA 70433-7517 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386842995 | Caesar Sweidan | Dentist | 5024 Keystone Blvd Ste A, Covington, LA 70433-7517 | 2007-07-05 |
| 1073738985 | James E Fagan | Dentist | 2301 N Hwy 190, Suite #1, Covington, LA 70433 | 2007-04-16 |
| 1285703702 | Sofia D. Petrov | Dentist | 27081 185th Ave Se, Suite B-105, Covington, WA 98042-8448 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1548532930 | Jyoti Puri | Dentist | 1900 Perdido St Apt A54, New Orleans, LA 70112-1369 | 2012-02-01 |
| 1366714750 | Manrat Amornporncharoen | Dentist | 3624 S Loyola Dr Apt 256, Kenner, LA 70065-5499 | 2012-02-01 |
| 1538456207 | Eric Christopher Hebert | Dentist | 3521 N Arnoult Rd, Suite A, Metairie, LA 70002-3395 | 2011-07-01 |
| 1518296482 | Pooja Maney | Dentist | 1100, Florida Avenue, # 131, New Orleans, LA 70119 | 2009-12-23 |
| 1225242746 | Ana Margarita Saenz | Dentist | 337 Metairie Rd, Suite 301, Metairie, LA 70005-4338 | 2007-05-10 |
| 1871706812 | John Kenneth Legleu Jr. | Dentist | 12071 Bricksome Dr, Baton Rouge, LA 70816 | 2007-05-07 |
| 1104047976 | Hisham F Nasr | Dentist | 337 Metairie Road, Suite 301, Metairie, LA 70005 | 2007-05-01 |
| 1497971691 | Daniel Davis Gammage | Dentist | 215 Saint Ann Dr Ste 1, Mandeville, LA 70471-3394 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.