Healthcare Provider Details

I. General information

NPI: 1477219780
Provider Name (Legal Business Name): ABEL & PATEL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 WISCONSIN AVE STE 930
CHEVY CHASE MD
20815-4316
US

IV. Provider business mailing address

5530 WISCONSIN AVE STE 930
CHEVY CHASE MD
20815-4316
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-7372
  • Fax:
Mailing address:
  • Phone: 301-652-7372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JARRED ABEL
Title or Position: OWNER
Credential: DDM, MD
Phone: 301-652-7372