ABIDE ENDODONTICS NPI 1205200920

NPI Information

NPI: 1205200920
Provider Name: ABIDE ENDODONTICS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5740 GETWELL RD
BLDG. 3A
SOUTHAVEN, MS
ZIP 38672
Phone: (662) 470-5811
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ABIDE ENDODONTICS is a dental clinic center in Southaven, MS. ABIDE ENDODONTICS NPI is 1205200920. The provider is registered as an organization entity type.

The provider's business location address is:

5740 GETWELL RD
BLDG. 3A
SOUTHAVEN, MS
ZIP 38672-346
Phone: (662) 470-5811
Fax: (662) 470-5817

The provider's authorized official is Andrew Elias Abide .
The authorized official title is Owner and has the following contact phone number (662) 470-5811.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	3573	MISSISSIPPI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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