Provider Demographics
NPI:1679183933
Name:ALBERT ABDELNOUR PLC
Entity Type:Organization
Organization Name:ALBERT ABDELNOUR PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELNOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-464-8020
Mailing Address - Street 1:15406 LEVAN RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1943
Mailing Address - Country:US
Mailing Address - Phone:734-464-8020
Mailing Address - Fax:
Practice Address - Street 1:15406 LEVAN RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1943
Practice Address - Country:US
Practice Address - Phone:734-464-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty