Adam Abdeh DDS . PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

052807 Issued in NY

Legal business name

ADAM ABDEH DDS . PC

Practice address

340 Larkin Dr Ste 201
Monroe, NY 10950-4929

Phone

(845) 782-1908

Fax

(845) 782-0336

NPI assigned

Nov 30, 2011

Organization subpart

No

Name

Adam Abdeh, DDSNPI 1639299985

Title

Dentist/President

Phone

(845) 782-1908

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Abdeh, DDS

  • Dentist
  • Monroe, NY
  • NPI 1639299985
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2011.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1134496565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 LARKIN DR STE 201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504929",
            "telephone_number": "845-782-1908",
            "fax_number": "845-782-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LARKIN DR STE 201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504929",
            "telephone_number": "845-782-1908",
            "fax_number": "845-782-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM ABDEH DDS . PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ABDEH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "845-782-1908",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "052807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02851710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Monroe, NY
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.