Provider Demographics
NPI:1942395355
Name:TEGEST ABEBE, DMD,PC
Entity Type:Organization
Organization Name:TEGEST ABEBE, DMD,PC
Other - Org Name:DR ABEBE & ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TEGEST
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEBE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:202-331-0444
Mailing Address - Street 1:1325 18TH ST NW
Mailing Address - Street 2:SUITE # 206
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-331-0444
Mailing Address - Fax:202-331-8980
Practice Address - Street 1:1325 18TH ST NW
Practice Address - Street 2:SUITE # 206
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-331-0444
Practice Address - Fax:202-331-8980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN51211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty