Provider Demographics
NPI:1699399113
Name:FRIMPONG, ABENA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABENA
Middle Name:S
Last Name:FRIMPONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ABENA
Other - Middle Name:SALOME
Other - Last Name:OWUSU-FRIMPONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:24 WINDING WOOD DR APT 5A
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-2097
Mailing Address - Country:US
Mailing Address - Phone:718-813-4328
Mailing Address - Fax:
Practice Address - Street 1:2044 CLINTON ST UNIT B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-1003
Practice Address - Country:US
Practice Address - Phone:303-217-4165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00204384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist