Individual
PAUL T. UMSTOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 VALLEY ST NW, ABINGDON, VA 24210-2728
(276) 628-1188
(276) 628-1203
Mailing address
300 VALLEY ST NW, ABINGDON, VA 24210-2728
(276) 628-1188
(276) 628-1203
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4726
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066411
BCBST
TN
01
—
017995
ANTHEM
VA
01
—
44722
UNITED CONCORDIA
VA
05
—
9178757
—
VA
Enumeration date
07/16/2006
Last updated
07/09/2007
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