Abolarin Llc in Philadelphia - General Practice

Abolarin Llc - NPI 1104097872

Abolarin Llc is a General Practice in Philadelphia, Pennsylvania. Abolarin Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Abolarin Llc is 1104097872. The last update date is 2012-07-23.

Abolarin Llc's current location address is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158311023 and fax number 2158311129. The mailing address for Abolarin Llc is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Abolarin Llc
Address 6404 Roosevelt Blvd, Philadelphia, Pennsylvania
Phone Number 2158311023
Fax Number 2158311129
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTAL DIR
Authorized Official Name Abolarin O Andrew
Credentials D.D.S
Telephone Number 2156135808

NPI Number Detail

NPI Number 1104097872
Provider Enumeration Date 2008-03-20
Last Updated Date 2012-07-23

Provider Mailing Address Detail

Address 6404 Roosevelt Blvd
City Philadelphia
State Pennsylvania (PA)
Post Code 191492943
Phone Number 2158311023
Fax Number 2158311129

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS037319
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102051413 PA --
9183726 PA DORAL

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FAQs about Abolarin Llc

What is the Abolarin Llc's unique identification number?

The Abolarin Llc has been assigned the NPI (National Provider Identifier) Number 1104097872 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Abolarin Llc is physically located?

The Abolarin Llc is situated at the following address: 6404 Roosevelt Blvd, Philadelphia, PA 191492943.

What is the Abolarin Llc's specialty and taxonomy code?

The Abolarin Llc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When was the Abolarin Llc's 1104097872 issued?

The Abolarin Llc's 1104097872 was issued on 2008-03-20.

When was the Abolarin Llc's information last updated?

The Abolarin Llc's information was last updated on 2012-07-23.

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