Larry Edward Abbott, DDS is a
Dentist based in Etowah, Tennessee. Larry Edward Abbott is licensed to practice in Tennessee (license number DS003274) and his current practice location is
620 Tennessee Ave, Etowah, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 263-7315.
NPI number for Larry Edward Abbott is 1649335670 and his current mailing address is 620 Tennessee Ave, Po Box 517, Etowah, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649335670.
Healthcare Provider's Profile
| Full Name | Larry Edward Abbott |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 620 Tennessee Ave, Etowah, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649335670
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Larry Edward Abbott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649335670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DS003274 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Edward Abbott is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry Edward Abbott, DDS
620 Tennessee Ave, Po Box 517,
Etowah, TN 37331-1304
Ph: (423) 263-7315 | Larry Edward Abbott, DDS
620 Tennessee Ave,
Etowah, TN 37331-1304
Ph: (423) 263-7315 |
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