NABIL A ABAZA DMD NPI 1497700272

NPI Information

  • NPI: 1497700272
  • Provider Name: NABIL A ABAZA, DMD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • Address: 207 N BROAD ST
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 561-0562

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NPI Details

Nabil A Abaza, DMD is an oral maxillofacial surgery in Philadelphia, PA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Nabil A Abaza, DMD NPI is 1497700272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

207 N BROAD ST
PHILADELPHIA, PA
ZIP 19107-500
Phone: (215) 561-0562
Fax: (215) 561-0472

The enumeration date for this NPI number is 5/23/2006 and was last updated on 4/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDS019318LPENNSYLVANIANo
2204E00000XOral & Maxillofacial SurgeryDS019318LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T29768MEDICARE UPINPENNSYLVANIA
2000767939MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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