NPI 1235641564 · live from the CMS NPI Registry
Abbeville Dentistry - Amarillo Grand Street, PLLC
Dentist, General Practice in Amarillo, TX. National Provider Identifier 1235641564, active.
NPI record
| NPI | 1235641564 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3300 E Interstate 40, Amarillo, TX 79103 |
| Practice phone | 806-372-3076 |
| Mailing address | Po Box 437169, Louisville, KY 40253 |
| Enumerated | October 26, 2017 |
| Last updated | September 5, 2023 |
| Authorized official | Jeff Reibel, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.