Provider Demographics
NPI:1841859238
Name:ABEDINI, MEGANN KELLY (DMD)
Entity type:Individual
Prefix:
First Name:MEGANN
Middle Name:KELLY
Last Name:ABEDINI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 N DUPONT ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4028
Mailing Address - Country:US
Mailing Address - Phone:732-864-6825
Mailing Address - Fax:
Practice Address - Street 1:3301 LANCASTER PIKE UNIT 3E-3F
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1436
Practice Address - Country:US
Practice Address - Phone:302-803-6560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0430411223P0221X
DEG1-00114761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry