Provider Demographics
NPI:1871758516
Name:ABBICK, MARION GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:MARION
Middle Name:GEORGE
Last Name:ABBICK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 W 6TH ST
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-5103
Mailing Address - Country:US
Mailing Address - Phone:785-238-3221
Mailing Address - Fax:
Practice Address - Street 1:719 W 6TH ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-5103
Practice Address - Country:US
Practice Address - Phone:785-238-3221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS51171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice