Abel Nmi Aguilar, DMD
Individual provider Active NPI General Practice Dentistry · Manchester, GA
NPI 1689644635 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1689644635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN012784 (GA)
- Practice address
- 408 Perry St
Manchester, GA 31816-1203 - Phone
- (706) 981-6272
- Fax
- (709) 684-6918
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|
| DN012784 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3991 | SC | |
| General Practice Dentistry | 1223G0001X | DN012784 | GA | Yes |
Addresses
Primary practice location
408 Perry St
Manchester, GA 31816-1203
Mailing address
408 W Perry St
Manchester, GA 31816-1203
Phone (706) 846-8404
Other providers in Manchester, GA
- Angel Heart Homecare & Hospice
- Beautifull Butterfly Family Resource Center Inc.
- Beckhams HHC Pharmacy Inc
- Turner Blackburn
- Crystal Boykin
All providers in Manchester, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. 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.