Individual
DR. GRANT THOMAS ABERNATHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4700BUREAU RD S, FCC TERRE HAUTE DENTAL UNIT, TERRE HAUTE, IN 47802
(812) 244-4595
(812) 244-4791
Mailing address
4700 BUREAU RD S, FCC TERRE HAUTE ATTN: DENTAL, TERRE HAUTE, IN 47802
(812) 244-4595
(812) 244-4791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
08865
IA
1223G0001X
General Practice Dentistry
Primary
6828-15
WI
Other
Enumeration date
08/01/2011
Last updated
06/13/2013
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