Provider Demographics
NPI:1093939084
Name:AABLE DENTAL CLINIC PA
Entity Type:Organization
Organization Name:AABLE DENTAL CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KEHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-680-6325
Mailing Address - Street 1:3233 WURZBACH ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-4002
Mailing Address - Country:US
Mailing Address - Phone:210-680-6325
Mailing Address - Fax:210-680-4957
Practice Address - Street 1:3233 WURZBACH ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-4002
Practice Address - Country:US
Practice Address - Phone:210-680-6325
Practice Address - Fax:210-680-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty