Provider Demographics
NPI:1104043868
Name:ABEL, ERIN DAWSON (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DAWSON
Last Name:ABEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 SONOMA AVE
Mailing Address - Street 2:C3
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-8901
Mailing Address - Country:US
Mailing Address - Phone:707-546-2235
Mailing Address - Fax:707-546-2051
Practice Address - Street 1:1100 SONOMA AVE
Practice Address - Street 2:C3
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-8901
Practice Address - Country:US
Practice Address - Phone:707-546-2235
Practice Address - Fax:707-546-2051
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40570122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist