Provider Demographics
NPI:1881367001
Name:LAMPTEY, ABENA AGYEIWAA (DMD)
Entity type:Individual
Prefix:
First Name:ABENA
Middle Name:AGYEIWAA
Last Name:LAMPTEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ABENA
Other - Middle Name:AGYEIWAA
Other - Last Name:LAMPTEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:138 9TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:CHILDERSBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35044-1642
Mailing Address - Country:US
Mailing Address - Phone:256-378-3322
Mailing Address - Fax:
Practice Address - Street 1:138 9TH AVE SW
Practice Address - Street 2:
Practice Address - City:CHILDERSBURG
Practice Address - State:AL
Practice Address - Zip Code:35044-1642
Practice Address - Country:US
Practice Address - Phone:256-378-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD-0006933-C11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice