Healthcare Provider Details

I. General information

NPI: 1972950228
Provider Name (Legal Business Name): ABRAM HESS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 04/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7225 US 31 S SUITE G
INDIANAPOLIS IN
46227-8685
US

IV. Provider business mailing address

7225 US 31 S SUITE G
INDIANAPOLIS IN
46227-8685
US

V. Phone/Fax

Practice location:
  • Phone: 317-300-0356
  • Fax:
Mailing address:
  • Phone: 317-300-0356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12012466A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: