Provider Demographics
NPI:1043433105
Name:ABBATE, JOSEPH MICHAEL (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:ABBATE
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 RENAISSANCE CTR STE 501
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48243-1902
Mailing Address - Country:US
Mailing Address - Phone:313-259-0300
Mailing Address - Fax:313-259-2607
Practice Address - Street 1:500 RENAISSANCE CTR STE 501
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48243-1902
Practice Address - Country:US
Practice Address - Phone:313-259-0300
Practice Address - Fax:313-259-2607
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI126761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice