Provider Demographics
NPI:1164501607
Name:ATHARI, ABBAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABBAS
Middle Name:
Last Name:ATHARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2541 ALLENDER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3034
Mailing Address - Country:US
Mailing Address - Phone:412-344-6639
Mailing Address - Fax:412-531-9221
Practice Address - Street 1:2541 ALLENDER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3034
Practice Address - Country:US
Practice Address - Phone:412-344-6639
Practice Address - Fax:412-531-9221
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025399L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice