Provider Demographics
NPI:1346362852
Name:COYLE, ABBY HARMON (DMD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:HARMON
Last Name:COYLE
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 1:39 BOBOLINK DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-1516
Mailing Address - Country:US
Mailing Address - Phone:859-336-7680
Mailing Address - Fax:
Practice Address - Street 1:39 BOBOLINK DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:KY
Practice Address - Zip Code:40069-1516
Practice Address - Country:US
Practice Address - Phone:859-336-7680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist