Provider Demographics
NPI:1427177310
Name:ABSI, DINAH JOSEPH (DMD)
Entity type:Individual
Prefix:DR
First Name:DINAH
Middle Name:JOSEPH
Last Name:ABSI
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 1:3364 KEENLAND RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-7035
Mailing Address - Country:US
Mailing Address - Phone:404-819-3827
Mailing Address - Fax:
Practice Address - Street 1:4343 SHALLOWFORD RD STE 560
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-5072
Practice Address - Country:US
Practice Address - Phone:470-449-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN011795122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1043386253OtherDENTIST