Ramez Naim Abilmona, DMD
Individual provider Active NPI General Practice Dentistry · Mesa, AZ
NPI 1376744748 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376744748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D2946 (AZ)
- Practice address
- 2415 W Main St
Mesa, AZ 85201 - Phone
- (480) 968-7777
- Fax
- (480) 929-0817
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216000155 | AZ | Order and Referring Only - Dentist |
8123322906 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2946 | AZ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D2946 | AZ | Yes |
Addresses
Primary practice location
2415 W Main St
Mesa, AZ 85201
Mailing address
2415 W Main St
Mesa, AZ 85201
Phone (480) 968-7777
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- Gamal Aboul-Nasr
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All providers in Mesa, AZ · General Practice Dentistry in Arizona
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.