Provider Demographics
NPI:1326049040
Name:DABBS, WILLIAM ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALEXANDER
Last Name:DABBS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:104 RIDGELY AVE STE 302
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1441
Mailing Address - Country:US
Mailing Address - Phone:410-280-9500
Mailing Address - Fax:443-214-5168
Practice Address - Street 1:104 RIDGELY AVE STE 302
Practice Address - Street 2:SUITE 200
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1441
Practice Address - Country:US
Practice Address - Phone:410-280-9500
Practice Address - Fax:443-214-5168
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0024768207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD425645-04OtherCAREFIRST MD RENDERING
MD023921OtherJHHC PROVIDER NUMBER
MD315231600Medicaid
MD7605-0017OtherCAREFIRST BLUECHOICE
MDP14386OtherCAREFIRST MPOS
MD1575259OtherCIGNA PIN
MD272840OtherMAMSI SPECIALIST
MD4067335OtherAETNA (NEW)
MD080148692OtherRR MEDICARE
MD872840OtherMAMSI PRIMARY CARE
MD023921OtherJHHC PROVIDER NUMBER
MD315231600Medicaid