Ab Dental Humble, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AB DENTAL HUMBLE, PLLC

Practice address

9816 Memorial Blvd Ste 101
Humble, TX 77338-4205

Phone

(281) 446-6527

Fax

(281) 446-3619

NPI assigned

Jun 9, 2022

Last updated

Jun 9, 2022By 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

Funmi Abosede, DMD

Title

Owner

Phone

(281) 446-6527

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1881323228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384205",
            "telephone_number": "281-446-6527",
            "fax_number": "281-446-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384205",
            "telephone_number": "281-446-6527",
            "fax_number": "281-446-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB DENTAL HUMBLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "ABOSEDE",
        "authorized_official_first_name": "FUNMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-446-6527",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBDE",
            "identifier": "35070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.