Provider Demographics
NPI:1811150105
Name:ABELES, FREDERICK (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:
Last Name:ABELES
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 1:2300 WINDY RIDGE PRKWY
Mailing Address - Street 2:SUITE 220 SOUTH
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339
Mailing Address - Country:US
Mailing Address - Phone:770-952-1212
Mailing Address - Fax:770-953-8877
Practice Address - Street 1:2300 WINDY RIDGE PRKWY
Practice Address - Street 2:SUITE 220 SOUTH
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:770-952-1212
Practice Address - Fax:770-953-8877
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN008877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist