Provider Demographics
NPI:1457892002
Name:NORMAN I. ABOLSKY, D.D.S.
Entity Type:Organization
Organization Name:NORMAN I. ABOLSKY, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:ABOLSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-595-2335
Mailing Address - Street 1:12534 N KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1817
Mailing Address - Country:US
Mailing Address - Phone:305-595-2335
Mailing Address - Fax:305-279-7879
Practice Address - Street 1:12534 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1817
Practice Address - Country:US
Practice Address - Phone:305-595-2335
Practice Address - Fax:305-279-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5751261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL073134000Medicaid