Provider Demographics
NPI:1497489025
Name:ISMAIL, HEBA AHMED (BDS,MS)
Entity type:Individual
Prefix:DR
First Name:HEBA
Middle Name:AHMED
Last Name:ISMAIL
Suffix:
Gender:F
Credentials:BDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 KILGO DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-7387
Mailing Address - Country:US
Mailing Address - Phone:952-208-2376
Mailing Address - Fax:
Practice Address - Street 1:5011 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-5642
Practice Address - Country:US
Practice Address - Phone:434-822-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401419631122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist