Provider Demographics
NPI:1508299561
Name:ABELL, KATHERINE ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:ABELL
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 1:40 OKATIE CENTER BLVD S STE 302
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7510
Mailing Address - Country:US
Mailing Address - Phone:843-706-9662
Mailing Address - Fax:843-706-9688
Practice Address - Street 1:40 OKATIE CENTER BLVD S STE 302
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909
Practice Address - Country:US
Practice Address - Phone:843-706-9662
Practice Address - Fax:843-706-9688
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice