Provider Demographics
NPI:1083065668
Name:DILUZIO, ABIGAIL NELSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:NELSON
Last Name:DILUZIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 REGAL AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2127
Mailing Address - Country:US
Mailing Address - Phone:404-713-2506
Mailing Address - Fax:
Practice Address - Street 1:205 4TH AVE NE STE 101
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-1965
Practice Address - Country:US
Practice Address - Phone:256-739-5533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-25
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6307122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist