NPI 1407536592 · live from the CMS NPI Registry
Jeffrey Abettan
Dentist, General Practice in Vero Beach, FL. National Provider Identifier 1407536592, active.
NPI record
| NPI | 1407536592 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1955 21st Ave, Vero Beach, FL 32960 |
| Practice phone | 772-257-8224 |
| Mailing address | 1555 Indian River Blvd Ste B210, Vero Beach, FL 32960 |
| Enumerated | July 24, 2023 |
| Last updated | January 16, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | dn27806 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.