MEDICARE: ISAAC HABER ORTHODONTICS INC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN 13565	FL

General Provider Information

NPI Number	:	1841404761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISAAC HABER ORTHODONTICS INC

Provider Business Mailing Address
First Line	:	8701 SW 137TH AVE
Second Line	:	SUITE 102
City	:	MIAMI
State	:	FL
Zip	:	33183-4078
Country	:	US
Telephone Number	:	305-386-0068
Fax Number	:

Provider Business Practice Location Address
First Line	:	8701 SW 137TH AVE
Second Line	:	SUITE 102
City	:	MIAMI
State	:	FL
Zip	:	33183-4078
Country	:	US
Telephone Number	:	305-386-0068
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	MR. ISAAC B HABER
Credential	:	D.D.S., M.S.
Telephone Number	:	305-386-0068

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/22/2020

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