NPI 1790642791 · live from the CMS NPI Registry
Abm Orthodontics PA
Dentist, Orthodontics and Dentofacial Orthopedics in Clearwater, FL. National Provider Identifier 1790642791, active.
NPI record
| NPI | 1790642791 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1180 Ponce De Leon Blvd Ste 501, Clearwater, FL 33756 |
| Practice phone | 727-605-2266 |
| Enumerated | January 9, 2026 |
| Last updated | January 21, 2026 |
| Authorized official | Brooke Mahdavi, Practice Owner |
| Other names | Abm Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.