Most Relevant Information
Provider Data
| NPI Number: | 1003554973 |
| Provider Name: | ALEX ABBOTT DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2022 |
| Last Updated: | 05/21/2022 |
Provider Practice Location
4301 W MARKHAM ST # 624
LITTLE ROCK
AR
722057199
Practice Location Phone/Fax
| Phone: | 5015267619 |
| Fax: |
Provider Mailing Location
3012 N HILLS BLVD APT 4217
NORTH LITTLE ROCK
AR
721169446
Provider Mailing Phone/Fax
| Phone: | 5015201472 |
| Fax: |