Abigail Yazbak, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS0000011834 Issued in TN

Practice address

616 Brandywine Village CT
Old Hickory, TN 37138-2122

Phone

(615) 883-0067

Fax

(615) 883-0365

NPI assigned

May 8, 2018

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• Hermitage Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Old Hickory, TN
  • NPI 1134843436
  NPD Authorized official

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1184113839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BRANDYWINE VILLAGE CT",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382122",
            "telephone_number": "615-883-0067",
            "fax_number": "615-883-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BRANDYWINE VILLAGE CT",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371382122",
            "telephone_number": "615-883-0067",
            "fax_number": "615-883-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012437",
            "country_code": "US",
            "telephone_number": "931-201-9922",
            "fax_number": "931-201-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZBAK",
        "first_name": "ABIGAIL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000011834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Louise Wills, MS, OT/L
• Marion Nelson Wilson Jr., DDS
• Kenneth G. Witt Jr., D.M.D.
• Kevin James Worley, DDS
• Deena Wurth, PTA

• Oral and Maxillofacial Surgery (Dentist) in Old Hickory, TN
• Providers in Old Hickory, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.