Provider Demographics
NPI:1760797641
Name:VINALL, ABBEY CARRAWAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABBEY
Middle Name:CARRAWAY
Last Name:VINALL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ABBEY
Other - Middle Name:LEE
Other - Last Name:CARRAWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8295 BLAIR LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-4255
Mailing Address - Country:US
Mailing Address - Phone:901-949-5072
Mailing Address - Fax:
Practice Address - Street 1:95 US HIGHWAY 51 BYP W
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-1935
Practice Address - Country:US
Practice Address - Phone:731-286-1271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN98951223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry