Roger W. Abbott, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010867 Issued in GA

Practice address

290 Hilderbrand Dr NE
Suite a-9
Atlanta, GA 30328-3906

Phone

(404) 255-2273

Fax

(404) 467-4805

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental TLC, P.C.

  dba Dental TLC

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1912606443
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174530869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HILDERBRAND DR NE",
            "address_2": "SUITE A-9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283906",
            "telephone_number": "404-255-2273",
            "fax_number": "404-467-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HILDERBRAND DR NE",
            "address_2": "SUITE A-9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283906",
            "telephone_number": "404-255-2273",
            "fax_number": "404-467-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "ROGER",
        "middle_name": "W.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Abbott, MD
• Christen Abbott, HAIR LOSS SPECILIST
• Cynthia A. Abbott, M.D.
• Franklin Abbott, L.C.S.W.
• Justin Abbott, MD
• Shawn Renee Abbott, M.D.
• Susan E Abbott, WHNP-BC
• Tea Jeanette Abbracciamento
• Abby Care Georgia LLC
• Abc Healthcare of America, LLC. (ABC Healthcare and Staffing)

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.