# ABBEVILLE DENTISTRY - AMARILLO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346682317
- **Authorized official:** JANELLE PICKLESIMER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (502) 254-8501

## Contact information

- **Practice address:** 3630 SW 45TH AVE, AMARILLO, TX 79109-5689
- **Practice address phone:** (806) 223-2886
- **Mailing address:** 134 EVERGREEN RD STE 200, LOUISVILLE, KY 40243-1486
- **Mailing address phone:** (502) 254-8501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2013
- **Last updated:** 07/19/2013