Provider Demographics
NPI:1174962393
Name:MORALES, ABBEY DUPAY (DMD)
Entity type:Individual
Prefix:DR
First Name:ABBEY
Middle Name:DUPAY
Last Name:MORALES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3376 WOODS EDGE CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-3435
Mailing Address - Country:US
Mailing Address - Phone:239-910-5944
Mailing Address - Fax:
Practice Address - Street 1:3376 WOODS EDGE CIR STE 101
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-3435
Practice Address - Country:US
Practice Address - Phone:239-498-9666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN201891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice