George Henry Aberth Jr., D.D.S.
Individual provider Active NPI Prosthodontics · Niceville, FL
NPI 1295810315 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295810315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- DN11759 (FL)
- Practice address
- 4506 E Highway 20
Suite 100
Niceville, FL 32578-9755 - Phone
- (850) 897-1231
- Fax
- (850) 897-4504
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DN11759 | FL | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN11759 | FL | Yes |
Addresses
Primary practice location
4506 E Highway 20
Suite 100
Niceville, FL 32578-9755
Mailing address
4506 E Highway 20
Suite 100
Niceville, FL 32578-9755
Phone (850) 897-1231
Other providers in Niceville, FL
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.