NPI 1891308227 · live from the CMS NPI Registry
Jonathan Abay
Dentist in The Woodlands, TX. National Provider Identifier 1891308227, active.
NPI record
| NPI | 1891308227 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 4223 Research Forest Dr, The Woodlands, TX 77381 |
| Practice phone | 713-292-3443 |
| Mailing address | 22 Clingstone Pl, The Woodlands, TX 77382 |
| Enumerated | August 25, 2020 |
| Last updated | August 25, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 36565 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.