MEDICARE: NORMAN I. ABOLSKY, D.D.S.

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	261QD0000X	Dental Clinic/Center	5751	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457892002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORMAN I. ABOLSKY, D.D.S.

Provider Business Mailing Address
First Line	:	12534 N KENDALL DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1817
Country	:	US
Telephone Number	:	305-595-2335
Fax Number	:	305-279-7879

Provider Business Practice Location Address
First Line	:	12534 N KENDALL DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1817
Country	:	US
Telephone Number	:	305-595-2335
Fax Number	:	305-279-7879

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NORMAN IRA ABOLSKY
Credential	:	D.D.S.
Telephone Number	:	305-595-2335

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	03/15/2017

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