Provider Demographics
NPI:1245219724
Name:ABAD, STEVIC BARTOLABAC (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVIC
Middle Name:BARTOLABAC
Last Name:ABAD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 JENKINS AVE
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28555-4401
Mailing Address - Country:US
Mailing Address - Phone:910-743-2521
Mailing Address - Fax:910-743-2531
Practice Address - Street 1:1002 JENKINS AVE
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28555-4401
Practice Address - Country:US
Practice Address - Phone:910-743-2521
Practice Address - Fax:910-743-2531
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice