Abang, Roderick Noel
Abang, Roderick Noel is an individual health care provider with primary practice located at 2301 Meadow Dr , Louisville KY 40218-1338. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Abang, Roderick Noel can be contacted via phone (502) 451-8900.Contact Information
Primary practice address
2301 Meadow Dr
Louisville KY 40218-1338
Phone: (502) 451-8900
Fax: (502) 454-9494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 7297 | Kentucky |
Profile Details
| NPI number | 1720079783 |
|---|---|
| LBN Legal business name | Abang, Roderick Noel |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720079783 | NPPES |
| Kentucky | MEDICAID | 60072972 |
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