Provider Demographics
NPI:1992024251
Name:WILLITSFORD, ABIGAIL MINA STRINGER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:MINA STRINGER
Last Name:WILLITSFORD
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 1:9917 CARRIGAN DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-3617
Mailing Address - Country:US
Mailing Address - Phone:814-404-6601
Mailing Address - Fax:
Practice Address - Street 1:9917 CARRIGAN DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-3617
Practice Address - Country:US
Practice Address - Phone:814-404-6601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19266122300000X
MD15086122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist