Noor Abdulhassab Abid

Individual provider Active NPI General Practice Dentistry · Wesley Chapel, FL

NPI 1871374520 · NPPES record last updated Apr 18, 2025

Key facts

NPI
1871374520
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN28437 (FL)
Practice address
30722 Veridian Way
Wesley Chapel, FL 33543-5859
Phone
(202) 763-2633
NPI assigned
Oct 9, 2023
Sex
Female
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

LicenseStateTypeSpecialty
DN28437FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN28437 FL Yes

Addresses

Primary practice location

30722 Veridian Way
Wesley Chapel, FL 33543-5859

Mailing address

30722 Veridian Way
Wesley Chapel, FL 33543-5859
Phone (202) 763-2633

Other providers in Wesley Chapel, FL

All providers in Wesley Chapel, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.