Provider Demographics
NPI:1417206970
Name:JARRED ABEL, DDS, PC
Entity Type:Organization
Organization Name:JARRED ABEL, DDS, PC
Other - Org Name:BETHESDA CHEVY CHASE ORAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT.
Authorized Official - Prefix:DR
Authorized Official - First Name:JARRED
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:301-652-7372
Mailing Address - Street 1:5530 WISCONSIN AVE. SUITE 930
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-652-7372
Mailing Address - Fax:301-652-5806
Practice Address - Street 1:5530 WISCONSIN AVE. SUITE 930
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-652-7372
Practice Address - Fax:301-652-5806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14850261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery