Organization · NPI-2

Abbott Family Dentistry, LLC

Dentist · Anchorage, AK

NPI number1104358373
StatusActive
Last updated in NPPESMar 29, 2017

Details

NPI
1104358373
Entity type
Organization (NPI-2)
Legal business name
Abbott Family Dentistry, LLC
Organization subpart
No
Enumeration date
Mar 28, 2017
Last updated
Mar 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDEND971AKYes
332B00000X Durable Medical Equipment & Medical SuppliesDEND971AK

Practice location

1601 Abbott Rd
Suite 102
Anchorage, AK 99507-3441

Phone 907-336-8478 · Fax 907-336-8873

Mailing address

1601 Abbott Rd
Suite 102
Anchorage, AK 99507-3441

Phone 907-336-8478 · Fax 907-336-8873

Authorized official

Robert P Pierson
Owner
9073368478

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