NPI 1083979603 · live from the CMS NPI Registry
Rahim Abdul, B.D.S
Dentist, General Practice in Youngstown, OH. National Provider Identifier 1083979603, active.
NPI record
| NPI | 1083979603 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 500 Gypsy Ln, Youngstown, OH 44504 |
| Practice phone | 330-884-3058 |
| Enumerated | July 10, 2012 |
| Last updated | July 10, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 3180 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.