Provider Demographics
NPI:1578645503
Name:ABOUSY, DAWN FRANCES (DDS)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:FRANCES
Last Name:ABOUSY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12156 MOUNT ALBERT CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1330
Mailing Address - Country:US
Mailing Address - Phone:443-472-5297
Mailing Address - Fax:
Practice Address - Street 1:1253 W PRATT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-2600
Practice Address - Country:US
Practice Address - Phone:410-727-4746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10005761223G0001X
MD136761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice