Provider Demographics
NPI:1831219567
Name:ABADIN, JOSE R (DDS)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:R
Last Name:ABADIN
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 1:555 BILTMORE WAY
Mailing Address - Street 2:SUITE #105
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5757
Mailing Address - Country:US
Mailing Address - Phone:305-446-1584
Mailing Address - Fax:305-446-8969
Practice Address - Street 1:555 BILTMORE WAY
Practice Address - Street 2:SUITE #105
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5757
Practice Address - Country:US
Practice Address - Phone:305-446-1584
Practice Address - Fax:305-446-8969
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN117351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice