Provider Demographics
NPI:1801956826
Name:ABDELGHANI, JAMIL S (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMIL
Middle Name:S
Last Name:ABDELGHANI
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 1:10801 STARKEY RD STE 301
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1161
Mailing Address - Country:US
Mailing Address - Phone:727-398-6553
Mailing Address - Fax:727-398-6838
Practice Address - Street 1:10801 STARKEY RD STE 301
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1161
Practice Address - Country:US
Practice Address - Phone:727-398-6553
Practice Address - Fax:727-398-6838
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN229491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice