Charles G Abraham
Dentist - General Practice Oral and Maxillofacial Surgeon
550 University Blvd # Uh3195
Indianapolis
, Indiana 46202
Charles G Abraham
Dentist - General Practice Oral and Maxillofacial Surgeon
550 University Blvd # Uh3195
Indianapolis
, Indiana 46202
(319) 335-7451
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Charles G Abraham
- 322 Dental Science Bldg S
- Iowa City, IA
- Zip : 52242-1001
- Fax : (319) 335-7451
- Phone : (319) 335-7440
Second Address
- Charles G Abraham
- 550 University Blvd # Uh3195
- Indianapolis, IN
- Zip : 46202
- Fax : (317) 274-8300
- Phone : (317) 274-8300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 09397 | IA |
| N | 213EG0000X | General Practice | 09397 | IA |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | LDR180202 | IN |
National Provider Identifier
| NPI | 1003336249 |
|---|---|
| Provider Name | Charles G Abraham |
| First Address | Iowa City, IA 52242-1001 |
| Second Address | Indianapolis, IN 46202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2017 |
| Last Update Date | 03/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.