# ABBEVILLE DENTISTRY - ODESSA EAST, PLLC

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

## Provider details

- **NPI number:** 1619443736
- **Authorized official:** JEFFF REIBEL (CFO)
- **Authorized official phone:** (502) 254-8500

## Contact information

- **Practice address:** 2499 E 11TH ST, ODESSA, TX 79761-4232
- **Practice address phone:** (502) 254-8500
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2018
- **Last updated:** 09/05/2023