Provider Demographics
NPI:1932218526
Name:LEDBETTER, RUTH ABBOTT (DENTAL HYGIENIST)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ABBOTT
Last Name:LEDBETTER
Suffix:
Gender:F
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5437 KIAWAH CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1766
Mailing Address - Country:US
Mailing Address - Phone:850-377-3260
Mailing Address - Fax:
Practice Address - Street 1:USS DWIGHT D EISENHOWER CVN 69
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09532
Practice Address - Country:US
Practice Address - Phone:757-445-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist