Bader Abdeen, D.D.S., M.S.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

29320 Issued in TX

Practice address

27150 Highway 290 Ste 400
Cypress, TX 77433-7224

Phone

(281) 677-0222

NPI assigned

Feb 14, 2012

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• College Station Oral Surgery, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • College Station, TX
  • NPI 1477101053
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1114290798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27150 HIGHWAY 290 STE 400",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337224",
            "telephone_number": "281-677-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27150 HIGHWAY 290 STE 400",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337224",
            "telephone_number": "281-677-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEEN",
        "first_name": "BADER",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-14",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "29320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lillian Abdalla, RN
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• Melanie Abella
• Kaitlyn Abercia
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• Periodontics in Cypress, TX
• Providers in Cypress, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.