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NPI Code Detail

MEDICARE: HIBA SAMAR IQBAL DDS

MEDICARE:   HIBA SAMAR IQBAL  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
1390200000XStudent in an Organized Health Care Education/Training Program
21223G0001XGeneral Practice Dentistry41560TX

General Provider Information

NPI Number : 1689560096
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIBA SAMAR IQBAL DDS
Provider Business Mailing Address
First Line : 2850 N BONNIE BRAE ST APT 429
Second Line :
City : DENTON
State : TX
Zip : 76207-1169
Country : US
Telephone Number : 585-981-0700
Fax Number :
Provider Business Practice Location Address
First Line : 6014 AZLE AVE # 100
Second Line :
City : LAKE WORTH
State : TX
Zip : 76135-2603
Country : US
Telephone Number : 817-529-5007
Fax Number : 817-529-5011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2025
Last Update Date : 07/07/2025

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