Roderick Noel Abang in Louisville - Pediatric Dentistry

Roderick Noel Abang - NPI 1720079783

Roderick Noel Abang is a Pediatric Dentistry in Louisville, Kentucky. Roderick Noel Abang practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Roderick Noel Abang is 1720079783. The last update date is 2007-07-08.

Roderick Noel Abang's current location address is 2301 Meadow Dr, Louisville, Kentucky. You can contact this provider via phone number 5024518900 and fax number 5024549494. The mailing address for Roderick Noel Abang is 2301 Meadow Dr, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Roderick Noel Abang
Address 2301 Meadow Dr, Louisville, Kentucky
Phone Number 5024518900
Fax Number 5024549494
Sole Proprietor N
Credentials D.M.D

NPI Number Detail

NPI Number 1720079783
Provider Enumeration Date 2005-10-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2301 Meadow Dr
City Louisville
State Kentucky (KY)
Post Code 402181338
Phone Number 5024518900
Fax Number 5024549494

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 7297
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60072972 KY --

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FAQs about Roderick Noel Abang

What is the unique identification code assigned to Roderick Noel Abang by the Centers for Medicare & Medicaid Services?

The Roderick Noel Abang has been issued the NPI (National Provider Identifier) 1720079783. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Roderick Noel Abang?

The Roderick Noel Abang is situated at 2301 Meadow Dr, in the city of Louisville, state of KY, with the zip code 402181338.

What is Roderick Noel Abang's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Roderick Noel Abang is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720079783 to Roderick Noel Abang?

The Centers for Medicare & Medicaid Services originally issued the 1720079783 to Roderick Noel Abang on 2005-10-31.

When was the information pertaining to Roderick Noel Abang most recently updated or revised?

The details related to Roderick Noel Abang, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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