| NPI | 1326199878 |
|---|---|
| Former Legal Business Name | ABBEVILLE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEFF D REIBEL CFO 502-254-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-09-05 |