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Contact Information

JONATHAN ABAEV, DDS
909 WALNUT ST FL 3
PHILADELPHIA, PA19107-5211
 Phone: 215-955-6215
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JONATHAN ABAEV · (Male)

NPI # 1427724624
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/18/2021
Last updated 05/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 22DI02858000
  • PA License # DS044036
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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