Individual provider · NPI-1

Dr. George Abdelnour, D.D.S.

Dentist · Muskogee, OK

NPI number1194959296
StatusActive
Last updated in NPPESDec 12, 2019

Details

NPI
1194959296
Entity type
Individual (NPI-1)
Name
Dr. George Abdelnour
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2009
Certification date
Dec 12, 2019
Last updated
Dec 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist6247OKYes
1223G0001X Dentist, General PracticeD5874OR

Practice location

615 W Shawnee Bypass
Muskogee, OK 74401

Phone 918-351-7135

Mailing address

3173 W Devils Lake Rd
Lincoln City, OR 97367

Phone 541-994-8135

Other practice locations

3173 W Devils Lake Rd
Lincoln City, OR 97367

Phone 541-994-8135

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