Sunia Abdula-Lessing, D.D.S, M.S.
Individual provider Active NPI Endodontics · Frederick, MD
NPI 1255410064 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255410064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 13195 (MD)
- Practice address
- 70 Thomas Johnson Dr
Suite 123
Frederick, MD 21702-4361 - Phone
- (301) 668-3000
- Fax
- (301) 668-7888
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13195 | MD | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 13195 | MD | Yes |
Addresses
Primary practice location
70 Thomas Johnson Dr
Suite 123
Frederick, MD 21702-4361
Mailing address
12533 Folly Quarter Rd
Ellicott City, MD 21042-1207
Phone (443) 310-2323
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.