Provider Demographics
NPI:1033355227
Name:PATRICK ABBEY DMD PA
Entity Type:Organization
Organization Name:PATRICK ABBEY DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:ABBEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-872-4099
Mailing Address - Street 1:3000 E FLETCHER AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4656
Mailing Address - Country:US
Mailing Address - Phone:813-972-4099
Mailing Address - Fax:813-972-4920
Practice Address - Street 1:3000 E FLETCHER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4656
Practice Address - Country:US
Practice Address - Phone:813-972-4099
Practice Address - Fax:813-972-4920
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATRICK ABBEY DMD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-18
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty