Provider Demographics
NPI:1528842218
Name:ABUHALIMEH, BAYAN JAMAL (DDS)
Entity type:Individual
Prefix:DR
First Name:BAYAN
Middle Name:JAMAL
Last Name:ABUHALIMEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 DOMAIN DR
Mailing Address - Street 2:1115
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501
Mailing Address - Country:US
Mailing Address - Phone:304-435-5719
Mailing Address - Fax:
Practice Address - Street 1:451 SUNCREST TOWNE CENTER WVU PROSTHONDONTICS
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505
Practice Address - Country:US
Practice Address - Phone:304-293-2612
Practice Address - Fax:304-293-3731
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program