Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 0401004971 | VA |
NPI | 1073572178 |
---|---|
Provider Name | Dr. David M Abbott |
First Address | Richmond, VA 23226-1334 |
Second Address | Richmond, VA 23226-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 13/10/2020 |