Provider Demographics
NPI:1679216683
Name:ABDEEN, ASMAA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASMAA
Middle Name:
Last Name:ABDEEN
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 1:8 WHITMAN AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-6867
Mailing Address - Country:US
Mailing Address - Phone:551-242-4420
Mailing Address - Fax:
Practice Address - Street 1:4300 BLACK HORSE PIKE UNIT 212
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-3159
Practice Address - Country:US
Practice Address - Phone:609-833-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02903500122300000X
NJ390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes122300000XDental ProvidersDentist