Healthcare Provider Details

I. General information

NPI: 1699399113
Provider Name (Legal Business Name): ABENA S OWUSU-FRIMPONG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ABENA SALOME OWUSU-FRIMPONG DDS

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W EXCHANGE PKWY STE 1160
ALLEN TX
75013-7116
US

IV. Provider business mailing address

8604 CHATEAU AVE
MCKINNEY TX
75071-2049
US

V. Phone/Fax

Practice location:
  • Phone: 469-663-0393
  • Fax:
Mailing address:
  • Phone: 718-813-4328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number39302
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: