Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY EDWARD ABBOTT, D.D.S.
Active Sole ProprietorDentist · ETOWAH, TN
Registration Details
- NPI Number
- 1649335670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.31622290438 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS003274 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 TENNESSEE AVEETOWAH, TN, 373311304Browse TN providers · Browse ZIP 37331
- Phone
- 4232637315
- Fax
- 4232635055
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.