Abdallah Ezzat Kabil, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029568-L Issued in PA

Practice address

917 Macdade Blvd
Collingdale, PA 19023-3719

Phone

(610) 583-4443

Fax

(610) 583-8413

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Melody Mafa DMD LLC

  • Dental Clinic/Center
  • Collingdale, PA
  • NPI 1811563620
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770709016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MACDADE BLVD",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233719",
            "telephone_number": "610-583-4443",
            "fax_number": "610-583-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MACDADE BLVD",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233719",
            "telephone_number": "610-583-4443",
            "fax_number": "610-583-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABIL",
        "first_name": "ABDALLAH",
        "middle_name": "EZZAT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029568-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Care Incorporated
• Michelle Viola Henderson
• Erick Hines
• Sharon R Jackson Haynes
• Charles Mitchell Jackson, B.S., TSS
• Kamanda Home Care LLC
• Kimberly B Kaplan
• Rugiatu Kargbo
• Amin Mamie Kermon
• Spencer Killian

• General Practice Dentistry in Collingdale, PA
• Providers in Collingdale, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.