Christina Blanton Abernathy, D.M.D.

Individual provider Active NPI Public Health Dentistry · Morganton, NC

NPI 1730307604 · NPPES record last updated Mar 21, 2011

Key facts

NPI
1730307604
Entity type
Individual (NPI type 1)
Primary specialty
Public Health Dentistry 1223D0001X
License
6177 (NC)
Practice address
1000 S Sterling St
Morganton, NC 28655-3938
Phone
(828) 433-2335
Fax
(828) 430-7898
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110408000115 NC Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
2466636816

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6177NCMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 6177 NC Yes

Addresses

Primary practice location

1000 S Sterling St
Morganton, NC 28655-3938

Mailing address

1000 S Sterling St
Morganton, NC 28655-3938
Phone (828) 433-2335

Other identifiers

IdentifierTypeStateIssuer
8998109MedicaidNC

Other providers in Morganton, NC

All providers in Morganton, NC · Public Health Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.