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DR. ABRAHAM JORDAN PRIESTLEY DDS NPI 1962797217


NPI Information

NPI: 1962797217
Provider Name: DR. ABRAHAM JORDAN PRIESTLEY, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
11961 HERITAGE OAK PL
AUBURN, CA
ZIP 95603
Phone: (503) 805-6225
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DR. Abraham Jordan Priestley, DDS is a pediatric dentistry dentist in Auburn, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Abraham Jordan Priestley, DDS NPI is 1962797217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11961 HERITAGE OAK PL
AUBURN, CA
ZIP 95603-461
Phone: (503) 805-6225

The enumeration date for this NPI number is 6/15/2011 and was last updated on 4/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry100101CALIFORNIAYes
21223P0221XDentistPediatric Dentistry1001035WISCONSINNo
31223P0221XDentistPediatric Dentistry29673TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.