Jane Abbate, D.M.D.

Individual provider Active NPI General Practice Dentistry · Melbourne, FL

NPI 1962787309 · NPPES record last updated Oct 17, 2011

Key facts

NPI
1962787309
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN 12645 (FL)
Practice address
1770 N Wickham Rd
Melbourne, FL 32935-8122
Phone
(321) 253-0606
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN 12645FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Castle 1St Dental Care PA General Practice Past Accepting new patients
Valley Forge Dental of FL PA General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 12645 FL Yes

Addresses

Primary practice location

1770 N Wickham Rd
Melbourne, FL 32935-8122

Mailing address

1770 N Wickham Rd
Melbourne, FL 32935-8122
Phone (321) 253-0606

Other providers in Melbourne, FL

All providers in Melbourne, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.