Bruce S Abe, DDS
Dentist, Periodontics in San Diego, California
1235104688- Practice location
- 501 Washington St Ste 740, San Diego, CA 92103-2231
- Phone
- 619-393-7511
- Fax
- —
- Last updated
- September 25, 2023
Bruce Shintaro Abe is a Dentist, Periodontics based in San Diego, CA. Bruce Shintaro Abe practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Bruce Shintaro Abe is 1235104688 and holds a License No. 47344 (CA). The current practice location address for Bruce Shintaro Abe is 501 Washington St Ste 740, San Diego, CA 92103-2231 and can be reached out via phone at 619-393-7511.
Provider Profile Details
- NPI Number
- 1235104688
- Provider Name
- Bruce Shintaro Abe
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 501 Washington St Ste 740, San Diego, CA 92103-2231
- Phone Number
- 619-393-7511
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 21, 2006
- Last Update Date
- September 25, 2023
- Certification Date
- September 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 501 Washington St Ste 740
San Diego, CA 92103-2231 - City
- San Diego
- State
- California
- Zip
- 92103-2231
- Phone Number
- 619-393-7511
Provider Business Mailing Address Details
- Address
- 501 Washington St Ste 740
San Diego, CA 92103-2231 - City
- San Diego
- State
- CA
- Zip
- 92103-2231
- Phone Number
- 619-417-9910
License Information
- License Number
- 47344
- License State
- CA
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bruce S Abe, DDS?
The NPI number of Bruce S Abe, DDS is 1235104688. It was assigned on February 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Bruce S Abe, DDS?
Bruce S Abe, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in CA under license number 47344.
Where does Bruce S Abe, DDS practice?
The practice location is 501 Washington St Ste 740, San Diego, CA 92103-2231. The office can be reached at 619-393-7511 (phone).
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 1235104688 directly on the NPPES registry website.