Adelle Abouarrage, D.D.S.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Toledo, OH
NPI 1023463155 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1023463155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4415 W Sylvania Ave
Toledo, OH 43623-3427 - Phone
- (419) 708-0652
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160810002895 | OH | Order and Referring Only - Dentist |
8123312311 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4415 W Sylvania Ave
Toledo, OH 43623-3427
Mailing address
4415 W Sylvania Ave
Toledo, OH 43623-3427
Phone (419) 708-0652
Other providers in Toledo, OH
- Melaina Abec
- Carmen Abi Khalil
- Syed Mansoor Abidi
- Diala Abou-Dahech
- Abdul-Badi Abou-Samra
- Diana Aboukhater
- Hala Mohammedsaeed Aboulkhair
- Camille Abounaaj
- Above & Beyond Care Behavioral Health
- Above & Beyond Care Behavioral Health
All providers in Toledo, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.