Abedi Advanced Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009718 Issued in WA

Legal business name

ABEDI ADVANCED FAMILY DENTISTRY PLLC

Practice address

803 39TH Ave SW Ste E
Puyallup, WA 98373-3692

Phone

(253) 445-1500

NPI assigned

Feb 19, 2014

Last updated

Feb 19, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Parvin Abedi, OWNERNPI 1467516310

Title

Doctor

Phone

(253) 576-2411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parvin Abedi, DDS

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1467516310
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1558786145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 SUNNYSIDE HEIGHTS DR",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983881365",
            "telephone_number": "253-576-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 39TH AVE SW STE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733692",
            "telephone_number": "253-445-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEDI ADVANCED FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "ABEDI",
        "authorized_official_first_name": "PARVIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-576-2411",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salma Mutawakil Abdalla
• Safaa Abdellatif
• Najah Abdul
• Bisher Abdullah, MD
• Elizabeth Rose Abecassis, PA-C
• Jessica Gail Abel, LMP
• Amelia Abello
• Betty B Abera
• Sindi Abra, PHARMACY TECH
• Abria Breast Center PLLC (Abria Medical Center)

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.