Organization · NPI-2

Abm Orthodontics PA

Dentist, Orthodontics and Dentofacial Orthopedics · Clearwater, FL

NPI number1790642791
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1790642791
Entity type
Organization (NPI-2)
Legal business name
Abm Orthodontics PA
Organization subpart
No
Enumeration date
Jan 9, 2026
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes

Other names

  • Abm Orthodontics (Doing Business As)

Practice location

1180 Ponce De Leon Blvd Ste 501
Clearwater, FL 33756-1031

Phone 727-605-2266

Mailing address

1180 Ponce De Leon Blvd Ste 501
Clearwater, FL 33756-1031

Phone 727-605-2266

Authorized official

Brooke Mahdavi
Practice Owner
8182744424

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