Individual provider · NPI-1
Paul L Abbott, DMD
Dentist, Endodontics · Louisville, KY
NPI number1386766327
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386766327
- Entity type
- Individual (NPI-1)
- Name
- Paul L Abbott
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 7375 | KY | Yes |
Practice location
9710 Park Plaza Ave Unit 109Louisville, KY 40241-2292
Phone 502-412-3309 · Fax 502-412-3340
Mailing address
9710 Park Plaza Ave Unit 109Louisville, KY 40241-2292
Phone 502-412-3309 · Fax 502-412-3340
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