Paria Monica Abbassian, DDS
Individual provider Active NPI General Practice Dentistry · Fenton, MO
NPI 1255907150 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1255907150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2022014735 (MO)
- Practice address
- 170 Gravois Bluffs Cir
Fenton, MO 63026-7761 - Phone
- (636) 349-3434
- NPI assigned
- Jun 1, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022014735 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2022014735 | MO | Yes |
Addresses
Primary practice location
170 Gravois Bluffs Cir
Fenton, MO 63026-7761
Mailing address
6968 Fieldstone Dr
Burr Ridge, IL 60527-6969
Phone (630) 379-7447
Other providers in Fenton, MO
- A New Day Home Care, LLC
- Mohammed Ali Abbas
- Jayne R Abraham
- Pratibha Mary Abraham
- Lindsey Danielle Adams
- Akeeb Adedokun
- Affiliated Hospitals Dialysis Center
All providers in Fenton, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. 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.