Provider Demographics
NPI:1194824185
Name:ABADI FAMILY DENTISTRY PC
Entity Type:Organization
Organization Name:ABADI FAMILY DENTISTRY PC
Other - Org Name:DENTISTRY AT GRAYHAWK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:BAHAR
Authorized Official - Middle Name:F
Authorized Official - Last Name:ATA-ABADI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-244-9274
Mailing Address - Street 1:20801 NO SCOTTSDALE RD
Mailing Address - Street 2:SUITE #209
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255
Mailing Address - Country:US
Mailing Address - Phone:480-513-2773
Mailing Address - Fax:480-513-0666
Practice Address - Street 1:20801 NO SCOTTSDALE RD
Practice Address - Street 2:SUITE #209
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-513-2773
Practice Address - Fax:480-513-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty