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Contact Information

ANDREW E ABIDE JR, DMD
5740 GETWELL RD
BLD 3, UNIT A
SOUTHAVEN, MS38672-6346
 Phone: 662-470-5811
 Fax: 662-470-5817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ANDREW E ABIDE JR · (Male)

NPI # 1841499340
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/13/2007
Last updated 12/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 3573-10
  • MS License # ENDO-441-11
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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