Provider Demographics
NPI:1316691025
Name:ALDOSARI, ABDULLAH MOHAMMED (BDS)
Entity type:Individual
Prefix:DR
First Name:ABDULLAH
Middle Name:MOHAMMED
Last Name:ALDOSARI
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 ASCHINGER BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-4611
Mailing Address - Country:US
Mailing Address - Phone:614-313-2711
Mailing Address - Fax:
Practice Address - Street 1:305 W. 12TH AVENUE
Practice Address - Street 2:2045 POSTLE HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:614-313-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.0040691223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics