| Drs Mintz & Abbott LLC | |
|
6010 Executive Blvd Ste 500 Rockville MD 20852-3827 | |
| (301) 530-8570 | |
| (301) 530-8572 |
| Full Name | Drs Mintz & Abbott LLC |
|---|---|
| Speciality | Dentist |
| Location | 6010 Executive Blvd Ste 500, Rockville, Maryland |
| Authorized Official Name and Position | Jeremy James Abbott (DENTIST/OWNER) |
| Authorized Official Contact | 8055590579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Mintz & Abbott LLC 6010 Executive Blvd Ste 500 Rockville MD 20852-3827 Ph: (301) 530-8570 | Drs Mintz & Abbott LLC 6010 Executive Blvd Ste 500 Rockville MD 20852-3827 Ph: (301) 530-8570 |
| NPI Number | 1386142123 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 9335400548 |
|---|---|
| Medicare Enrollment ID | O20180305001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386142123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Secondary |
| 1223X2210X | Dentist - Orofacial Pain | (NU) | Primary |
| Provider Name | Jeremy Abbott |
|---|---|
| Provider Type | Practitioner - Orofacial Pain |
| Provider Identifiers | NPI Number: 1891857074 PECOS PAC ID: 8123320074 Enrollment ID: I20160411001827 |
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