Provider Demographics
NPI:1689644635
Name:AGUILAR, ABEL NMI (DMD)
Entity Type:Individual
Prefix:DR
First Name:ABEL
Middle Name:NMI
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 W PERRY ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:GA
Mailing Address - Zip Code:31816-1203
Mailing Address - Country:US
Mailing Address - Phone:706-846-8404
Mailing Address - Fax:709-684-6918
Practice Address - Street 1:408 PERRY ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:GA
Practice Address - Zip Code:31816-1203
Practice Address - Country:US
Practice Address - Phone:706-981-6272
Practice Address - Fax:709-684-6918
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC39911223G0001X
GADN0127841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GABA9739799OtherDEA NUMBER