Organization
ABBEVILLE SPECIAL NEEDS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
2420 QUAKER AVE STE 101, LUBBOCK, TX 79410-1817
(502) 254-8500
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
09/05/2023
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