Emad Abdou, DDS | |
700 Village Center Dr Ste 170, North Oaks, MN 55127-3025 | |
(651) 482-0065 | |
Not Available |
Full Name | Emad Abdou |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 700 Village Center Dr Ste 170, North Oaks, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174914766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 058061 (New York) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | S209 (Minnesota) | Primary |
Entity Name | Staten Island Oral & Maxillofacial Surgery |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316217763 PECOS PAC ID: 4486821709 Enrollment ID: O20120126000740 |
Mailing Address | Practice Location Address |
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Emad Abdou, DDS 256-c Mason Ave. 3rd Floor, Staten Island, NY 10305 Ph: (718) 226-1251 | Emad Abdou, DDS 700 Village Center Dr Ste 170, North Oaks, MN 55127-3025 Ph: (651) 482-0065 |
Dr. Michael Wayne Furey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 Village Center Dr, Suite 120, North Oaks, MN 55127 Phone: 651-490-9011 Fax: 651-490-5081 | |
John Salek-raham, MD DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 700 Village Center Dr., Ste 170, North Oaks, MN 55127 Phone: 651-482-0065 Fax: 651-482-6144 | |
Dr. Daniel Jonathan Lunstad, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 700 Village Center Dr, Suite 120, North Oaks, MN 55127 Phone: 651-490-9011 | |
Stephen Edward Gadient, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 Village Center Dr, Suite 170, North Oaks, MN 55127 Phone: 651-482-0065 Fax: 651-482-6144 | |
Dr. Thomas Erik Neafus, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 Village Center Dr, Suite 150, North Oaks, MN 55127 Phone: 651-481-8443 | |
Dr. Elizabeth Eggert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 Village Center Dr, Suite 160, North Oaks, MN 55127 Phone: 651-482-8412 Fax: 651-482-8376 |