NPI 1619443736 · live from the CMS NPI Registry
Abbeville Dentistry - Odessa East, PLLC
Dentist, General Practice in Odessa, TX. National Provider Identifier 1619443736, active.
NPI record
| NPI | 1619443736 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2499 E 11th St, Odessa, TX 79761 |
| Practice phone | 502-254-8500 |
| Mailing address | Po Box 437169, Louisville, KY 40253 |
| Enumerated | October 16, 2018 |
| Last updated | September 5, 2023 |
| Authorized official | Jefff 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.