Nicolas Abujamra DDS Ms LTD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

4873-015 Issued in WI

Legal business name

NICOLAS ABUJAMRA DDS MS LTD

Practice address

2581 Development Dr
Suite 102
Green Bay, WI 54311-4247

Phone

(920) 347-2626

Fax

(920) 347-2621

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By 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

Dr. Nicolas Fawzi Abujamra, DDS, MSNPI 1720123201

Title

Doctor

Phone

(920) 347-2626

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.

• Nicolas Fawzi Abujamra, DDS, MS

  • Dentist
  • Green Bay, WI
  • NPI 1720123201
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841419587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 DEVELOPMENT DR",
            "address_2": "SUITE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114247",
            "telephone_number": "920-347-2626",
            "fax_number": "920-347-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 DEVELOPMENT DR",
            "address_2": "SUITE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114247",
            "telephone_number": "920-347-2626",
            "fax_number": "920-347-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS ABUJAMRA DDS MS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABUJAMRA",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "FAWZI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "920-347-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "4873-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ellen Nichols, PHARMD
• Lindsey Catherine Nichols
• Morgan Nicholson, RDH
• Joel William Nickel, DC
• Ashley Nickeson
• Cassie Renee Nielson
• Chase A Nier, D-PT
• Katherine A Nier, OT
• Taylor Nier, PT
• Dayna K Niesen, PA-C

• Prosthodontics in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Prosthodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.