Individual provider · NPI-1

Dr. Tara Abbott, DDS

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number1578377289
StatusActive
Last updated in NPPESFeb 3, 2025

Details

NPI
1578377289
Entity type
Individual (NPI-1)
Name
Dr. Tara Abbott
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2025
Certification date
Feb 3, 2025
Last updated
Feb 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

240 S 40th St
Philadelphia, PA 19104-6030

Phone 215-573-2588

Mailing address

240 S 40th St
Philadelphia, PA 19104-6030

Phone 215-573-2588

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