MEDICARE: DR. HASANAIN MUSTAFA HABEEB HABEEB DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	105897	CA

General Provider Information

NPI Number	:	1659969756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HASANAIN MUSTAFA HABEEB HABEEB DDS

Provider Business Mailing Address
First Line	:	PO BOX AD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95992-1396
Country	:	US
Telephone Number	:	800-313-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3945 MARYSVILLE BLVD STE 1
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-3762
Country	:	US
Telephone Number	:	916-646-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2021
Last Update Date	:	03/04/2026

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