Provider Demographics
NPI:1528734845
Name:GILL, ABIGAIL (DMD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:MINSKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:908 KNOWLES DR
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-2375
Mailing Address - Country:US
Mailing Address - Phone:810-623-7986
Mailing Address - Fax:
Practice Address - Street 1:2604 ALDRICH ST STE A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3484
Practice Address - Country:US
Practice Address - Phone:512-843-7768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice