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ABBEVILLE DENTISTRY- ODESSA PLLC NPI 1457699100


NPI Information

NPI: 1457699100
Provider Name: ABBEVILLE DENTISTRY- ODESSA PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2631 FAUDREE RD
SUITE B
ODESSA, TX
ZIP 79765
Phone: (432) 301-9838
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ABBEVILLE DENTISTRY- ODESSA PLLC is a general practice dentist in Odessa, TX. The provider is 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. ABBEVILLE DENTISTRY- ODESSA PLLC NPI is 1457699100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2631 FAUDREE RD
SUITE B
ODESSA, TX
ZIP 79765-526
Phone: (432) 301-9838
Fax: (432) 563-1763

The provider's authorized official is Kathie Armstrong .
The authorized official title is Director Of Credentialing and has the following contact phone number (502) 254-8501.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 1/30/2013.


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
11223G0001XDentistGeneral PracticeYes

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

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