Provider Demographics
NPI:1033433479
Name:ABELLA, CYNTHIA NICOLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:NICOLE
Last Name:ABELLA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 BARONNE ST APT 100
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1579
Mailing Address - Country:US
Mailing Address - Phone:787-477-0563
Mailing Address - Fax:
Practice Address - Street 1:2840 MANHATTAN BLVD
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2988
Practice Address - Country:US
Practice Address - Phone:504-324-3353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-14
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6457122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist