Steven J Abbott, DMD
Individual provider Active NPI Endodontics · Storrs, CT
NPI 1023130705 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023130705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 008118 (CT)
- Practice address
- 1733 Storrs Rd
Storrs, CT 06268 - Phone
- (860) 429-2051
- Fax
- (860) 429-2053
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008118 | CT | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storrs Endodontics LLC | Endodontics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 008118 | CT | Yes |
Addresses
Primary practice location
1733 Storrs Rd
Storrs, CT 06268
Mailing address
1733 Storrs Rd
Storrs Endodontics LLC
Storrs, CT 06268
Phone (860) 429-2051
Other providers in Storrs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.