Abolarin LLC
Organization Active NPI General Practice Dentistry · Philadelphia, PA
NPI 1104097872 · NPPES record last updated Jul 23, 2012
Key facts
- NPI
- 1104097872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS037319 (PA)
- Legal business name
- ABOLARIN LLC
- Practice address
- 6404 Roosevelt Blvd
2ND Floor
Philadelphia, PA 19149-2943 - Phone
- (215) 831-1023
- Fax
- (215) 831-1129
- NPI assigned
- Mar 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew O Abolarin, D.D.S
- Title
- Dental Director
- Phone
- (215) 613-5808
Practitioners 1
National Provider Directory
Locations
6404 Roosevelt Blvd
Fl 2
Philadelphia, PA 19149
Phone (215) 743-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DS037319 | PA | Yes |
Addresses
Primary practice location
6404 Roosevelt Blvd
2ND Floor
Philadelphia, PA 19149-2943
Mailing address
7439 Frankford Ave
2ND Floor
Philadelphia, PA 19136-3600
Phone (215) 613-5808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102051413 | Medicaid | PA | |
| 9183726 | Other | PA | DORAL |
Other names
- Alpha Dental Care
Other providers in Philadelphia, PA
- Abode Care Services, LLC.
- Oluwafemi Abodunde
- Bahy Tarek Samir Abofrekha
- Farid Aboharb
- Mariam S Aboian
- Andrew Olusegun Abolarin
- Kian Abolhoda
- Meghan Aborn
- Rita Abou Jawde
- Ranim Aboushaar
All providers in Philadelphia, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.