Provider Demographics
NPI:1477737377
Name:ALLYSON A. ABBOTT D.M.D.
Entity Type:Organization
Organization Name:ALLYSON A. ABBOTT D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-834-7770
Mailing Address - Street 1:2050 BUTLER PIKE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1800
Mailing Address - Country:US
Mailing Address - Phone:610-834-7770
Mailing Address - Fax:610-834-3776
Practice Address - Street 1:2050 BUTLER PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1800
Practice Address - Country:US
Practice Address - Phone:610-834-7770
Practice Address - Fax:610-834-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty