Provider Demographics
NPI:1699399113
Name:OWUSU-FRIMPONG, ABENA S (DDS)
Entity type:Individual
Prefix:DR
First Name:ABENA
Middle Name:S
Last Name:OWUSU-FRIMPONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ABENA
Other - Middle Name:SALOME
Other - Last Name:OWUSU-FRIMPONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8604 CHATEAU AVE
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2049
Mailing Address - Country:US
Mailing Address - Phone:718-813-4328
Mailing Address - Fax:
Practice Address - Street 1:1010 W EXCHANGE PKWY STE 1160
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-7116
Practice Address - Country:US
Practice Address - Phone:469-663-0393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX393021223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty