Nadimi, Abdollah

Nadimi, Abdollah is an individual health care provider with primary practice located at 504 Wolcott Rd Ste A , Wolcott CT 06716-2430. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nadimi, Abdollah can be contacted via phone (203) 879-9411.

Contact Information

Primary practice address
504 Wolcott Rd Ste A Wolcott CT 06716-2430
Fax: (203) 879-9383
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 008495 Connecticut

Profile Details

NPI number 1306949904
LBN Legal business name Nadimi, Abdollah
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Feb 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306949904 NPPES
Connecticut MEDICAID 002084953

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