Individual
DR. ABIGAIL ANN DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3002 BARDSTOWN RD, LOUISVILLE, KY 40205-3020
(502) 451-2212
Mailing address
7231 MEADOW RIDGE DR, LOUISVILLE, KY 40218-3780
(317) 361-6493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10375
KY
122300000X
Dentist
12011203A
IN
122300000X
Dentist
2901019890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315037627
LICENSE
MI
Enumeration date
09/15/2008
Last updated
03/24/2020
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