MEDICARE: DR. ISAAC B HABER D.D.S., M.S.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891909701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISAAC B HABER D.D.S., M.S.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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