MEDICARE: DALAL ABDULKARIM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	12916	TN

General Provider Information

NPI Number	:	1932082815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALAL ABDULKARIM DDS

Provider Business Mailing Address
First Line	:	2394 LOGWOOD BRIAR CV N
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-8881
Country	:	US
Telephone Number	:	901-506-4237
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 BONNIE LN
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-1529
Country	:	US
Telephone Number	:	619-816-0614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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