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NPI Code Detail

MEDICARE: GEORGE ZACHARY ABERTH DDS

MEDICARE: GEORGE ZACHARY ABERTH DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN20187FL

General Provider Information

NPI Number : 1760722888
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE ZACHARY ABERTH DDS
Provider Business Mailing Address
First Line : 1773 OSPREY CV
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-6812
Country : US
Telephone Number : 850-960-5176
Fax Number :
Provider Business Practice Location Address
First Line : 908 PALM BLVD S STE B
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-2603
Country : US
Telephone Number : 850-729-1223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2013
Last Update Date : 04/15/2024

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Directions to “ GEORGE ZACHARY ABERTH DDS” Practice Location

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