Organization
DRS MINTZ & ABBOTT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY JAMES ABBOTT (DENTIST/OWNER)
(805) 559-0579
Entity
Organization
Contact information
Practice address
6010 EXECUTIVE BLVD STE 500, ROCKVILLE, MD 20852-3827
(301) 530-8570
(301) 530-8572
Mailing address
6010 EXECUTIVE BLVD STE 500, ROCKVILLE, MD 20852-3827
(301) 530-8570
(301) 530-8572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X2210X
Orofacial Pain Dentistry
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/23/2024
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