Active NPIIndividual providerSole proprietor

Jonathan Abaev, DDS

Dentist in Philadelphia, Pennsylvania

NPI Number1427724624
Practice location
909 Walnut St Fl 3, Philadelphia, PA 19107-5211
Fax
—
Last updated
May 10, 2023

Jonathan Abaev is a Dentist based in Philadelphia, PA. Jonathan Abaev practices in Philadelphia, PA and has the professional credentials of DDS. The NPI Number for Jonathan Abaev is 1427724624 and holds a License No. 22DI02858000 (NJ). The current practice location address for Jonathan Abaev is 909 Walnut St Fl 3, Philadelphia, PA 19107-5211 and can be reached out via phone at 215-955-6215.

Provider Profile Details

NPI Number
1427724624
Provider Name
Jonathan Abaev
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
909 Walnut St Fl 3, Philadelphia, PA 19107-5211
Phone Number
215-955-6215
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2021
Last Update Date
May 10, 2023
Certification Date
May 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
909 Walnut St Fl 3
Philadelphia, PA 19107-5211
Zip
19107-5211
Phone Number
215-955-6215
Philadelphia, PA 19107Get directions →

Provider Business Mailing Address Details

Address
8414 Midland Pkwy
Jamaica, NY 11432-2219
City
Jamaica
State
NY
Zip
11432-2219

License Information

License Number (1)
22DI02858000
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DS044036
License State (2)
PA
Taxonomy (2)
Dentist · 122300000X · 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 Jonathan Abaev, DDS?

The NPI number of Jonathan Abaev, DDS is 1427724624. It was assigned on August 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Jonathan Abaev, DDS?

Jonathan Abaev, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02858000.

Where does Jonathan Abaev, DDS practice?

The practice location is 909 Walnut St Fl 3, Philadelphia, PA 19107-5211. The office can be reached at 215-955-6215 (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 1427724624 directly on the NPPES registry website.

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