Provider Demographics
NPI:1376075606
Name:SEAN B. ABIDIN, DDS & VANESSA M. CAO, DDS, LLC
Entity Type:Organization
Organization Name:SEAN B. ABIDIN, DDS & VANESSA M. CAO, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABIDIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-407-2280
Mailing Address - Street 1:6810 JOHN DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1275
Mailing Address - Country:US
Mailing Address - Phone:740-407-2280
Mailing Address - Fax:
Practice Address - Street 1:450 ALKYRE RUN
Practice Address - Street 2:SUITE 260
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6909
Practice Address - Country:US
Practice Address - Phone:614-882-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental