NPI 1134675770 · live from the CMS NPI Registry
Jacob Clifford Abbott, D.D.S.
Dentist, General Practice in Fort Worth, TX. National Provider Identifier 1134675770, active.
NPI record
| NPI | 1134675770 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 8461 Boat Club Rd, Fort Worth, TX 76179 |
| Practice phone | 817-236-8771 |
| Enumerated | September 1, 2016 |
| Last updated | September 1, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 32091 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.