Provider Demographics
NPI:1144346792
Name:ABBINANTI, DEAN C (DMD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:C
Last Name:ABBINANTI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15223-1869
Mailing Address - Country:US
Mailing Address - Phone:412-784-8900
Mailing Address - Fax:412-784-0391
Practice Address - Street 1:65 GRANT AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15223-1869
Practice Address - Country:US
Practice Address - Phone:412-784-8900
Practice Address - Fax:412-784-0391
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021708L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice