Active NPIIndividual providerSole proprietor

Dr. Mitra Abdollahi, DMD

Dentist, General Practice in Somerdale, New Jersey

NPI Number1033329230
Practice location
3 N White Horse Pike, Somerdale, NJ 08083-1740
Fax
856-782-7868
Last updated
July 8, 2007

Mitra Abdollahi is a Dentist, General Practice based in Somerdale, NJ. Mitra Abdollahi practices in Somerdale, NJ and has the professional credentials of DMD. The NPI Number for Mitra Abdollahi is 1033329230 and holds a License No. d019160 (NJ). The current practice location address for Mitra Abdollahi is 3 N White Horse Pike, Somerdale, NJ 08083-1740 and can be reached out via phone at 856-782-0800 and via fax at 856-782-7868.

Provider Profile Details

NPI Number
1033329230
Provider Name
Mitra Abdollahi
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3 N White Horse Pike, Somerdale, NJ 08083-1740
Phone Number
856-782-0800
Fax Number
856-782-7868
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 N White Horse Pike
Somerdale, NJ 08083-1740
Zip
08083-1740
Phone Number
856-782-0800
Fax Number
856-782-7868
Somerdale, NJ 08083Get directions →

Provider Business Mailing Address Details

Address
3 N White Horse Pike
Somerdale, NJ 08083-1740
City
Somerdale
State
NJ
Zip
08083-1740
Phone Number
856-782-0800
Fax Number
856-782-7868

License Information

License Number
d019160
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mitra Abdollahi, DMD?

The NPI number of Dr. Mitra Abdollahi, DMD is 1033329230. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mitra Abdollahi, DMD?

Dr. Mitra Abdollahi, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number d019160.

Where does Dr. Mitra Abdollahi, DMD practice?

The practice location is 3 N White Horse Pike, Somerdale, NJ 08083-1740. The office can be reached at 856-782-0800 (phone) or 856-782-7868 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033329230 directly on the NPPES registry website.

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