Lorna Agbanglo Abdon, DMD
Individual provider Active NPI General Practice Dentistry · Long Beach, CA
NPI 1437217684 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437217684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 39936 (CA)
- Practice address
- 1414 W Willow St
Long Beach, CA 90810 - Phone
- (562) 595-8553
- Fax
- (562) 595-9183
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 39936 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa Avendano-Galvez DMD Inc | Past |
Accepting new patients | |
| Lorna Abdon D.M.D. Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39936 | CA | Yes |
Addresses
Primary practice location
1414 W Willow St
Long Beach, CA 90810
Mailing address
1414 W Willow St
Long Beach, CA 90810
Phone (562) 595-8553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3993601 | Other | CA | MEDICAL |
Other providers in Long Beach, CA
- Adriana I. Abdalah
- Carolina Del Socorro Abdallah-Arguello
- Elijah Abdelmeseeh
- Sabrina J Abdelmuti
- Naima Abdirahman
- Amir Kamal Abdou
- Ahamed Abdul Cader
- Ruqaya Abdulkhaliq
- Ran Abe
- William Macfarland Abe
All providers in Long Beach, CA · General Practice Dentistry in California
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.