Provider Demographics
NPI:1396734596
Name:PAGHDIWALA, ABID F (DMD)
Entity type:Individual
Prefix:
First Name:ABID
Middle Name:F
Last Name:PAGHDIWALA
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 1:4409 NEW FALLS RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-3005
Mailing Address - Country:US
Mailing Address - Phone:215-949-8000
Mailing Address - Fax:
Practice Address - Street 1:4409 NEW FALLS RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-3005
Practice Address - Country:US
Practice Address - Phone:215-949-8000
Practice Address - Fax:215-949-8002
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020870L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice