Provider Demographics
NPI:1134615941
Name:BECHERER BARTHOLOMEW, ABBY LYNN (DDS)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LYNN
Last Name:BECHERER BARTHOLOMEW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 WHITAKER RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4823
Mailing Address - Country:US
Mailing Address - Phone:336-765-9247
Mailing Address - Fax:
Practice Address - Street 1:1086 WHITAKER RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4823
Practice Address - Country:US
Practice Address - Phone:336-765-9247
Practice Address - Fax:336-765-6960
Is Sole Proprietor?:No
Enumeration Date:2018-07-04
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11164122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist