Provider Demographics
NPI:1649488560
Name:ABEL, JARRED
Entity type:Individual
Prefix:DR
First Name:JARRED
Middle Name:
Last Name:ABEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE STE 930
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4316
Mailing Address - Country:US
Mailing Address - Phone:301-652-7372
Mailing Address - Fax:301-652-5806
Practice Address - Street 1:5530 WISCONSIN AVE STE 930
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4316
Practice Address - Country:US
Practice Address - Phone:301-652-7372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD148501223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1417206970OtherTYPE NPI