Provider Demographics
NPI:1013600998
Name:ABBOUD, ELIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIE
Middle Name:
Last Name:ABBOUD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 PERRILYN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-1450
Mailing Address - Country:US
Mailing Address - Phone:412-897-9188
Mailing Address - Fax:
Practice Address - Street 1:701 WILKESBORO BLVD NE
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-4610
Practice Address - Country:US
Practice Address - Phone:828-754-3531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13215122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist