Healthcare Provider Details

I. General information

NPI: 1396679148
Provider Name (Legal Business Name): DAVID HABIB DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8438 SW 103RD STREET RD
OCALA FL
34481-7766
US

IV. Provider business mailing address

601 W LAKE CIR
LONGWOOD FL
32750-2957
US

V. Phone/Fax

Practice location:
  • Phone: 352-724-8037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31827
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: