Provider Demographics
NPI:1952617284
Name:BELBEISI, FIRAS WAFIQ (DDS)
Entity type:Individual
Prefix:DR
First Name:FIRAS
Middle Name:WAFIQ
Last Name:BELBEISI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2641 SHIRLEY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-8633
Mailing Address - Country:US
Mailing Address - Phone:517-787-5367
Mailing Address - Fax:
Practice Address - Street 1:2641 SHIRLEY DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-8633
Practice Address - Country:US
Practice Address - Phone:517-787-5367
Practice Address - Fax:517-787-4219
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020264122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist