Provider Demographics
NPI:1508184417
Name:ABADI, FIROUZ JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:FIROUZ
Middle Name:JAMES
Last Name:ABADI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 MEADOWLAKE WAY
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-7120
Mailing Address - Country:US
Mailing Address - Phone:859-421-7000
Mailing Address - Fax:
Practice Address - Street 1:7033 BURLINGTON PIKE STE 1
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1600
Practice Address - Country:US
Practice Address - Phone:502-244-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8944122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist