Dr Elom Kwame Agbottah, DDS - Dentist in Modesto, CA

Dr Elom Kwame Agbottah, DDS is a Dentist - General Practice based in Modesto, California. Dr Elom Kwame Agbottah is licensed to practice in California (license number 103776) and his current practice location is 2225 Plaza Pkwy, Modesto, California. He can be reached at his office (for appointments etc.) via phone at (209) 491-3620.

NPI number for Dr Elom Kwame Agbottah is 1326531120 and his current mailing address is 2225 Plaza Pkwy, Modesto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326531120.

Contact Information

Dr Elom Kwame Agbottah, DDS
2225 Plaza Pkwy,
Modesto, CA 95350-6215
(209) 491-3620
Not Available



Healthcare Provider's Profile

Full NameDr Elom Kwame Agbottah
GenderMale
SpecialityDentist - General Practice
Location2225 Plaza Pkwy, Modesto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326531120
  • Provider Enumeration Date: 06/07/2018
  • Last Update Date: 10/02/2019

Medical Identifiers

Medical identifiers for Dr Elom Kwame Agbottah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326531120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 33911 (Texas)Secondary
1223G0001XDentist - General Practice 103776 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elom Kwame Agbottah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Elom Kwame Agbottah, DDS
2225 Plaza Pkwy,
Modesto, CA 95350-6215

Ph: (512) 707-9737
Dr Elom Kwame Agbottah, DDS
2225 Plaza Pkwy,
Modesto, CA 95350-6215

Ph: (209) 491-3620

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Dentist in Modesto, CA

Bhavini Harish Shelat, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Coffee Rd, Building B, Modesto, CA 95355
Phone: 209-727-4296    
Dr. Martha L Gomez, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Coffee Rd, Suite 9a, Modesto, CA 95355
Phone: 209-522-8783    Fax: 209-526-1470
Saliem Melles Tsighe, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 2200 Mchenry Ave Ste B, Modesto, CA 95350
Phone: 209-526-9132    
Dr. John R Jeppson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1429 College Ave, Suite G, Modesto, CA 95350
Phone: 209-526-0344    Fax: 209-526-0370
Dr. Samuel Ernest Bleakley, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Mchenry Village Way Ste 1, Modesto, CA 95350
Phone: 209-577-1313    Fax: 209-577-8584
Efraim Sanson Florendo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Coffee Rd, Modesto, CA 95055
Phone: 209-521-0100    
Lynn Zwahlen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 201 E Orangeburg Ave Ste C, Modesto, CA 95350
Phone: 209-522-5761    Fax: 209-522-1051

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