Andrew Elias Abide Sr., D.M.D.
Individual provider Active NPI General Practice Dentistry · Greenville, MS
NPI 1154469443 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154469443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1957-82 (MS)
- Practice address
- 637 Rayner Rd
Greenville, MS 38701-8135 - Phone
- (662) 378-8606
- Fax
- (662) 378-8690
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 1957-82 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew E Abide DMD PA | General Practice | Past | Accepting new patients |
| Dental Group of Greenville | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1957-82 | MS | Yes |
Addresses
Primary practice location
637 Rayner Rd
Greenville, MS 38701-8135
Mailing address
637 Rayner Rd
Greenville, MS 38701-8135
Phone (662) 378-8606
Other providers in Greenville, MS
- A & a Infusion & Specialty, LLC
- A & a Infusion & Specialty, LLC
- A&a Home Health Equipment, Inc.
- Mehein Abdipour
- Abide Dermatology Clinic
- Bonda Ann Abide
- David M Abide
- John M Abide
- Barbara P Adams
- Jacqueline Adams
All providers in Greenville, MS · General Practice Dentistry in Mississippi
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.