MEDICARE: DR. ABENA S OWUSU-FRIMPONG 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	1223P0300X	Periodontics	39302	TX

General Provider Information

NPI Number	:	1699399113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABENA S OWUSU-FRIMPONG DDS

Provider Business Mailing Address
First Line	:	8604 CHATEAU AVE
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2049
Country	:	US
Telephone Number	:	718-813-4328
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 W EXCHANGE PKWY STE 1160
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-7116
Country	:	US
Telephone Number	:	469-663-0393
Fax Number	:

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

Provider Enumeration Date	:	06/01/2020
Last Update Date	:	06/19/2025

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