Individual provider Active NPI

Abigale Neville, DMD

  • General Practice Dentistry
  • Holland, PA
National Provider Identifier
1174538920
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2265100 Issued in NJ
Practice address
295 Buck Rd
Holland, PA 18966-1733
Phone
(215) 364-0444
Fax
(215) 364-3444
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2265100 NJ Primary

Addresses

Primary practice location

295 Buck Rd
Holland, PA 18966-1733

Mailing address

295 Buck Rd Ste 305
Southampton, PA 18966-1750
Phone (215) 364-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516003645 PA Practitioner - Dentist 8426354614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

295 Buck Rd
Suite 111
Holland, PA 18966-1749
Phone (215) 880-6873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2265100NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Better Sleep Dentists, PLLC CurrentSince Apr 8, 2024 Accepting new patients
Neville Dental Care, LLC General Practice CurrentSince Jul 1, 2014 Accepting new patients

Locations

295 Buck Rd
Ste 305
Southampton, PA 18966
Phone (215) 355-8336

295 Buck Rd
Ste 111
Southampton, PA 18966
Phone (215) 464-0770

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1174538920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BUCK RD STE 305",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661750",
            "telephone_number": "215-364-0444",
            "fax_number": "215-364-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 BUCK RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661733",
            "telephone_number": "215-364-0444",
            "fax_number": "215-364-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "ABIGALE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "2265100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, PA

Sources for this page

Verify at the official NPI Registry.