Dr. Mark S Agababaev , DDS
Dentist - General Practice • Jersey City, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Agababaev has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Agababaev, DDS was a registered Dentist - General Practice practicing in Jersey City, NJ. Throughout an active medical career spanning 11 years, Dr. Agababaev provided care at the practice location at 30-71 A MALL DRIVE WEST until profile deactivation on 2020-08-03.
Practice Location & Contact Primary Location
30-71 A Mall Drive West
Jersey City, NJ 07310
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Jersey City, NJ
Practicing in Jersey City, NJ (4316 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist
Dentist - General Practice
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 03, 2020
NPI status registered as active in NPPES database
Registered at 30-71 A MALL DRIVE WEST, JERSEY CITY, NJ 07310 (Tel: 2016262500)
Registered at 900 AVENUE H, APT 6A, BROOKLYN, NY 112302848 (Tel: 7184347540)
Recorded as MARK AGABABAEV, DDS
Dentist (License #22DI02416500 in NJ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
900 Avenue H, Apt 6a
Brooklyn, NY 112302848
Phone: 7184347540
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