DR. ABED ALKHATIB (NPI# 1174795751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174795751 |
| Entity Type | Individual |
| Full Name | DR. ABED ALKHATIB |
| Credential | DMD |
| Practice Address |
4747 Main St Bridgeport CT 06606-1804 |
| Practice Telephone | 2033715595 |
| Practice Fax Number | 2033724912 |
| Mailing Telephone | 2033715595 |
| Mailing Fax Number | 2033724912 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2012-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
009842 | CT | Dental Providers |
| Street Address |
4747 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988993 | Robert Parks Horne | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2005-08-10 |
| 1164697645 | Orthocare Specialists,llc | Specialist | 4747 Main St, Bridgeport, CT 06606-1804 | 2008-04-25 |
| 1154518405 | Brian E Fitzgerald | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2007-10-01 |
| 1184634313 | Oral Surgery Associates, L.l.c | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2006-08-09 |
| 1831109396 | Howard Twersky | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2006-08-08 |
| 1992734545 | David B Brown | Orthopaedic Surgery | 4747 Main St, Bridgeport, CT 06606-1804 | 2006-07-03 |
| 1083685705 | Sean R. Kelly | Physical Medicine & Rehabilitation | 4747 Main St, Bridgeport, CT 06606-1804 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988993 | Robert Parks Horne | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2005-08-10 |
| 1194193094 | Sph Bridgeport, LLC | Dentist | 161 Boston Ave, Bridgeport, CT 06610-1662 | 2015-09-09 |
| 1154518405 | Brian E Fitzgerald | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2007-10-01 |
| 1184634313 | Oral Surgery Associates, L.l.c | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2006-08-09 |
| 1831109396 | Howard Twersky | Dentist | 4747 Main St, Bridgeport, CT 06606-1804 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.