Jonathan Abay

Individual provider Active NPI Dentist · The Woodlands, TX

NPI 1891308227 · NPPES record last updated Aug 25, 2020

Key facts

NPI
1891308227
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
36565 (TX)
Practice address
4223 Research Forest Dr
The Woodlands, TX 77381-4557
Phone
(713) 292-3443
NPI assigned
Aug 25, 2020
Sex
Male
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
36565TXMDForensic Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36565 TX Yes

Addresses

Primary practice location

4223 Research Forest Dr
The Woodlands, TX 77381-4557

Mailing address

22 Clingstone PL
The Woodlands, TX 77382-5001

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jabay@kacherdentistry.com Direct
Direct Messaging Address jabay@kacherdentistry.com Direct

Other providers in The Woodlands, TX

All providers in The Woodlands, TX · Dentist in Texas

Sources for this page

Verify at the official NPI Registry.