Individual provider Active NPI

Bill Abbo, DDS MS

  • General Practice Dentistry
  • North Miami Beach, FL
National Provider Identifier
1720147853
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17781 Issued in FL
Practice address
3031 NE 163Rd St
North Miami Beach, FL 33160-4462
Phone
(305) 945-0909
Fax
(305) 945-0907
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019307 MI
Prosthodontics 1223P0700X DN17781 FL
General Practice Dentistry 1223G0001X DN17781 FL Primary

Addresses

Primary practice location

3031 NE 163Rd St
North Miami Beach, FL 33160-4462

Mailing address

19331 NE 19TH PL
North Miami Beach, FL 33179-3611
Phone (305) 710-3129

Other practice location 1

4757 S University Dr
Davie, FL 33328-3819
Phone (954) 434-3331

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901019307MIMDDentist
DN17781FLMDProsthodontist

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Eli Abbo DMD PA CurrentSince Jun 3, 2025 Accepting new patients
Davie Advanced Dentistry General Practice CurrentSince May 18, 2025 Accepting new patients
Luis F Mota DMD Ms PA PastSince May 9, 2021 Accepting new patients
Dental Group of South Florida III Inc General Practice Past Accepting new patients
Claudia a Draizin DMD PA General Practice Past Accepting new patients
Global Dental Group Inc General Practice Past Accepting new patients

Locations

4757 S University Dr
Davie, FL 33328
Phone (954) 434-3331

3031 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 945-0909

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1720147853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19331 NE 19TH PL",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793611",
            "telephone_number": "305-710-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604462",
            "telephone_number": "305-945-0909",
            "fax_number": "305-945-0907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4757 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283819",
            "country_code": "US",
            "telephone_number": "954-434-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBO",
        "first_name": "BILL",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019307",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN17781",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.