NPI 1174698492 · live from the CMS NPI Registry
Phillip Edward Abbott, DDS
Dentist in Bartow, FL. National Provider Identifier 1174698492, active.
NPI record
| NPI | 1174698492 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 780 East Main Street, Bartow, FL 33830 |
| Practice phone | 863-533-9471 |
| Enumerated | November 21, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 09526 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.