Provider Demographics
NPI:1467528463
Name:ABELL, DANIEL FRANCIS (DMD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FRANCIS
Last Name:ABELL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:F
Other - Last Name:ABELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:4975 ALBEN BARKLEY DRIVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001
Mailing Address - Country:US
Mailing Address - Phone:270-554-3031
Mailing Address - Fax:270-554-5714
Practice Address - Street 1:4975 ALBEN BARKLEY DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001
Practice Address - Country:US
Practice Address - Phone:270-554-3031
Practice Address - Fax:270-554-5714
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7720122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60002672Medicaid