1538397989 NPI number — ABSHIER DENTAL CARE, PLLC, WIL M. ABSHIER, JR., D.M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538397989 NPI number — ABSHIER DENTAL CARE, PLLC, WIL M. ABSHIER, JR., D.M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABSHIER DENTAL CARE, PLLC, WIL M. ABSHIER, JR., D.M.D.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538397989
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4030 TATES CREEK RD
Provider Second Line Business Mailing Address:
#1249
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40517-3073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-925-4806
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7608 W HIGHWAY 146
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
PEWEE VALLEY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40056-8100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-241-5055
Provider Business Practice Location Address Fax Number:
502-241-5799
Provider Enumeration Date:
06/24/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ABSHIER
Authorized Official First Name:
WILMER
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
270-925-4806

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  8630 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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