Provider Demographics
NPI:1740487982
Name:DEW, ABBY LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:LEE
Last Name:DEW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:ABBY
Other - Middle Name:LEE
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 MEETING ST STE B
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2959
Mailing Address - Country:US
Mailing Address - Phone:912-480-0804
Mailing Address - Fax:
Practice Address - Street 1:50 MEETING ST STE B
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-2959
Practice Address - Country:US
Practice Address - Phone:912-480-0804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013776122300000X
MI2901019589122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist