Dr. Albert Gallemit Abena, D.D.S.
Dentist in Portland, ME. Individual provider (NPI-1).
NPI number1003945528
StatusActive
Last updated in NPPESJun 15, 2022
Details
- NPI
- 1003945528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Albert Gallemit Abena
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2007
- Certification date
- Jun 15, 2022
- Last updated
- Jun 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DEN4794 | ME | Yes |
| 122300000X | Dentist | 4465-15 | WI | |
| 122300000X | Dentist | D4794 | ME |
Practice location
716 Stevens AvePortland, ME 04103-2693
Phone 207-221-4687
Mailing address
716 Stevens AvePortland, ME 04103-2693
Phone 207-221-4687
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