Philip F Fabel DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7299 Issued in MN

Legal business name

PHILIP F FABEL DDS PA

Practice address

4600 Lake Rd
Robbinsdale, MN 55422-1800

Phone

(763) 537-1292

Fax

(763) 537-1468

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By 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. Philip Forest FabelNPI 1558305656

Title

Owner

Phone

(763) 537-1292

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Philip Forest Fabel, DDS

  • General Practice Dentistry
  • Robbinsdale, MN
  • NPI 1558305656
  Authorized official Same address or phone

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1922278753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAKE RD",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221800",
            "telephone_number": "763-537-1292",
            "fax_number": "763-537-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LAKE RD",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221800",
            "telephone_number": "763-537-1292",
            "fax_number": "763-537-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP F FABEL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "FABEL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "FOREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-537-1292",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1558305656",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earl Joel Peterson, M.D.
• Marian Peterson
• Shannon Nicole Peterson
• Terri Ann Peterson, OTR, CMLDT
• Susan Marie Pfister, RN CNNP
• Claire Kathleen Philippe, DO
• Mark Alan Pilot, MD
• Alexandra Elizabeth Plonsky, RN
• Adam Poquette
• Tammie Jean Porras, NP

• General Practice Dentistry in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.