Organization Active NPI

Andrew H. Abbott DDS PC

  • General Practice Dentistry
  • Rincon, GA
National Provider Identifier
1114221017
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANDREW H. ABBOTT DDS PC
Practice address
131 Silverwood Commercial Dr
Suite 400
Rincon, GA 31326-5198
Phone
(912) 826-1905
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Hollon Abboot, D.D.S.
Title
President
Phone
(912) 507-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

131 Silverwood Commercial Dr
Suite 400
Rincon, GA 31326-5198

Mailing address

9333 Blind Pass Rd
St Pete Beach, FL 33706-1317
Phone (912) 507-6468

National Provider Directory

National Provider Directory

Locations

131 Silverwood Commercial Dr
Ste 400
Rincon, GA 31326
Phone (912) 826-1905

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1114221017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 BLIND PASS RD",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061317",
            "telephone_number": "912-507-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SILVERWOOD COMMERCIAL DR",
            "address_2": "SUITE 400",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265198",
            "telephone_number": "912-826-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW H. ABBOTT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "ABBOOT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HOLLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-507-6468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.