NPIMap

Senan Abd, DMD

Individual provider Active NPI General Practice Dentistry · Princeton, TX

NPI 1336555804 · NPPES record last updated Mar 24, 2023

Key facts

NPI
1336555804
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
30080 (TX)
Practice address
200 Cypress Bend Pkwy
Building a ,Suite 3
Princeton, TX 75407
Phone
(469) 290-6565
Fax
(469) 290-6566
NPI assigned
Jul 6, 2014
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
30080TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
H J a Dental PLLC General Practice Current
since Jul 9, 2023		 Accepting new patients
Vinh Ngo Dentistry PLLC Past Accepting new patients

Locations

200 Cypress Bend Pkwy
Ste 3
Princeton, TX 75407
Phone (469) 290-6565

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30080 TX Yes

Addresses

Primary practice location

200 Cypress Bend Pkwy
Building a ,Suite 3
Princeton, TX 75407

Mailing address

1609 Mapleleaf Dr
Wylie, TX 75098-8165
Phone (909) 223-4035

Other providers in Princeton, TX

All providers in Princeton, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.