Provider Demographics
NPI:1093512832
Name:DORER, ABIGAIL BEVERLY (DMD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:BEVERLY
Last Name:DORER
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-2769
Mailing Address - Country:US
Mailing Address - Phone:724-378-2422
Mailing Address - Fax:
Practice Address - Street 1:2704 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-2769
Practice Address - Country:US
Practice Address - Phone:724-378-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0448801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice