Provider Demographics
NPI:1558852392
Name:ALLAWNHA, ABDULLAH M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABDULLAH
Middle Name:M
Last Name:ALLAWNHA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10980 OAK ST NE UNIT 2207
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-3342
Mailing Address - Country:US
Mailing Address - Phone:304-376-9940
Mailing Address - Fax:
Practice Address - Street 1:617 75TH AVE
Practice Address - Street 2:
Practice Address - City:ST PETE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33706-1835
Practice Address - Country:US
Practice Address - Phone:727-367-3313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23341122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist