Organization
ANDREW E ABIDE DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ELIAS ABIDE SR. (PRESIDENT)
(662) 378-8606
Entity
Organization
Contact information
Practice address
637 RAYNER RD, GREENVILLE, MS 38701-8135
(662) 378-8606
Mailing address
637 RAYNER RD, GREENVILLE, MS 38701-8135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
195782
MS
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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