Individual
DR. JEREMY JAMES ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6010 EXECUTIVE BLVD STE 500, ROCKVILLE, MD 20852-3827
(301) 530-8570
(301) 530-8572
Mailing address
6010 EXECUTIVE BLVD STE 500, ROCKVILLE, MD 20852-3827
(301) 530-8570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15884
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
15884
MD
1223X2210X
Orofacial Pain Dentistry
Primary
D15884
MD
Other
Enumeration date
12/14/2006
Last updated
01/23/2024
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