NPI 1205503448 · live from the CMS NPI Registry
Abanojoseph Samuel Abied, DDS
Dentist, Periodontics in Tampa, FL. National Provider Identifier 1205503448, active.
NPI record
| NPI | 1205503448 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Periodontics 1223P0300X |
| Practice location | 15148 N Dale Mabry Hwy, Tampa, FL 33618 |
| Practice phone | 813-257-9500 |
| Mailing address | 815 Water St Apt B1811, Tampa, FL 33602 |
| Enumerated | August 25, 2021 |
| Last updated | January 5, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Periodontics primary | 1223P0300X | DN26385 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.