Ragaa Abdulmoniem, DDS

General Practice Dentistry · Bristol, TN

Individual Active NPI

NPI number 1114758331

Practice location

1401 Volunteer Pkwy Apt 3
Bristol, TN 37620-6009
Phone
(423) 217-6300

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NPI record

NPI
1114758331
Entity type
Individual (Type 1)
Enumeration date
August 9, 2024
Last updated
August 9, 2024
Certified
August 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12604 TN

Mailing address

266 Mockingbird Ln Apt 503
Johnson City, TN 37604-3167
Phone
(703) 568-0451

About Dr. Abdulmoniem

Ragaa Abdulmoniem, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1401 Volunteer Pkwy Apt 3, Bristol, TN 37620-6009. The NPI number 1114758331 was assigned on August 9, 2024 and the record was last updated on August 9, 2024.

Dr. Abdulmoniem lists a license in the registry: #12604 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ragaa Abdulmoniem, DDS?

The NPI number is 1114758331.

What is the phone number of Dr. Abdulmoniem?

The phone number listed for the practice location is (423) 217-6300.

Where is Dr. Abdulmoniem located?

1401 Volunteer Pkwy Apt 3, Bristol, TN 37620-6009.

What is the taxonomy code for Dr. Abdulmoniem?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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