Abyssinia Dental Llc

LBN: Abyssinia Dental Llc
Abyssinia Dental Llc is an health care organization with primary practice located at 4041 Powder Mill Rd Ste 100 , Beltsville MD 20705-3106. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Abyssinia Dental Llc can be contacted via phone (301) 477-1005, or through Tessema, Derejew Kifle via phone (301) 477-1005.

Contact Information

Primary practice address
4041 Powder Mill Rd Ste 100 Beltsville MD 20705-3106
Phone: (301) 477-1005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tessema, Derejew Kifle Doctor of Dental Surgery (DDS)
Phone: (301) 477-1005

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1851861199
LBN Legal business name Abyssinia Dental Llc
DBA Doing business as
Authorized official Tessema, Derejew Kifle Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2018
Last updated Nov 29th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851861199 NPPES
Maryland MEDICAID 131458100
Maryland MEDICAID 17075979

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