Provider Demographics
NPI:1972783215
Name:TREESH, ABBY FENN (DDS)
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:FENN
Last Name:TREESH
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 1:8090 PRECINCT LINE RD
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7547
Mailing Address - Country:US
Mailing Address - Phone:817-285-8466
Mailing Address - Fax:817-285-0302
Practice Address - Street 1:8090 PRECINCT LINE RD
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-7547
Practice Address - Country:US
Practice Address - Phone:817-285-8466
Practice Address - Fax:817-285-0302
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-04
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22314122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist