Provider Demographics
NPI:1548952377
Name:WASHBURN, LAURA ABIGAIL (DMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ABIGAIL
Last Name:WASHBURN
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 1:1434 2ND CT E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-3200
Mailing Address - Country:US
Mailing Address - Phone:205-752-5400
Mailing Address - Fax:
Practice Address - Street 1:1434 2ND CT E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-3200
Practice Address - Country:US
Practice Address - Phone:205-752-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007491-C11223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice