NPI 1336555804 · live from the CMS NPI Registry
Senan Abd, DMD
Dentist, General Practice in Princeton, TX. National Provider Identifier 1336555804, active.
NPI record
| NPI | 1336555804 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 200 Cypress Bend Pkwy, Building A ,Suite 3, Princeton, TX 75407 |
| Practice phone | 469-290-6565 |
| Mailing address | 1609 Mapleleaf Dr, Wylie, TX 75098 |
| Enumerated | July 6, 2014 |
| Last updated | March 24, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 30080 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.