Provider Demographics
NPI:1619420882
Name:ABDULMAJEED, AWAB (DDS)
Entity Type:Individual
Prefix:
First Name:AWAB
Middle Name:
Last Name:ABDULMAJEED
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 1:1001 E BYRD ST APT 6722
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:521 N 11TH ST # 417
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5016
Practice Address - Country:US
Practice Address - Phone:804-828-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2023-02-21
Deactivation Date:2021-02-26
Deactivation Code:
Reactivation Date:2022-09-23
Provider Licenses
StateLicense IDTaxonomies
NC151114122300000X
VA0411000066122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist