Provider Demographics
NPI:1588747745
Name:ABERNETHY, JULIANNA HACSKAGLO (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIANNA
Middle Name:HACSKAGLO
Last Name:ABERNETHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11228 CONLEY COVE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613
Mailing Address - Country:US
Mailing Address - Phone:919-846-4088
Mailing Address - Fax:
Practice Address - Street 1:1111 S POLLOCK ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-2933
Practice Address - Country:US
Practice Address - Phone:919-965-2552
Practice Address - Fax:919-965-2524
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC79451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice