Provider Demographics
NPI:1861878969
Name:ABC DENTISTRY PASADENA PA
Entity type:Organization
Organization Name:ABC DENTISTRY PASADENA PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JABBARY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-944-6800
Mailing Address - Street 1:1500 SOUTHMORE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-1307
Mailing Address - Country:US
Mailing Address - Phone:713-472-6100
Mailing Address - Fax:713-472-6101
Practice Address - Street 1:1500 SOUTHMORE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1307
Practice Address - Country:US
Practice Address - Phone:713-472-6100
Practice Address - Fax:713-472-6101
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABC DENTISTRY PASADENA PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-31
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18929122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty