Individual
LARRY EDWARD ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
620 TENNESSEE AVE, ETOWAH, TN 37331-1304
(423) 263-7315
(423) 263-5055
Mailing address
620 TENNESSEE AVE, PO BOX 517, ETOWAH, TN 37331-1304
(423) 263-7315
(423) 263-5055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS003274
TN
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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