Provider Demographics
NPI:1275867707
Name:ARTHUR ABDIYEV DDS, PC
Entity Type:Organization
Organization Name:ARTHUR ABDIYEV DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-696-1614
Mailing Address - Street 1:15016 77TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3423
Mailing Address - Country:US
Mailing Address - Phone:917-696-1614
Mailing Address - Fax:
Practice Address - Street 1:15016 77TH RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3423
Practice Address - Country:US
Practice Address - Phone:917-696-1614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0539461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty