Sean Abidin, D.D.S.
Individual provider Active NPI Dentist · Westerville, OH
NPI 1790042976 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1790042976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30-023906 (OH)
- Practice address
- 450 Alkyre Run Ste 260
Westerville, OH 43082-6915 - Phone
- (614) 882-9828
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- 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 |
|---|---|---|---|
| 30-023906 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Dental-Broad-Ming Yu D.D.S.,LLC | Dentist | Past | Accepting new patients |
| Sean B. Abidin, DDS & Vanessa M. Cao, DDS, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-023906 | OH | Yes |
Addresses
Primary practice location
450 Alkyre Run Ste 260
Westerville, OH 43082-6915
Mailing address
6810 John Dr
Canal Winchester, OH 43110-1275
Phone (614) 321-5040
Other practice location 1
4770 W Broad St
Columbus, OH 43228-1613
Phone (614) 853-3232
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. 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.