Provider Demographics
NPI:1245069525
Name:MINCEY, ABIGAIL ELIZABETH (DMD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:MINCEY
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 1:210 WANCHESE RD N APT 201
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-8491
Mailing Address - Country:US
Mailing Address - Phone:229-798-2774
Mailing Address - Fax:
Practice Address - Street 1:17064 US HIGHWAY 17 STE D
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3303
Practice Address - Country:US
Practice Address - Phone:910-541-9290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC139221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice