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General NPI Number Information
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NPI Number | 1619130259
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Entity Type | Individual
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Provider Name | SHELLY ABRAMOWICZ DMD, MPH
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 1365 CLIFTON RD NE ORAL AND MAXILLOFACIAL SURGERY BLDG B, SUITE 2300
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-4500
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Fax | 404-778-5879
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Provider Business Mailing Address
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Address Line | 1365 CLIFTON RD NE ORAL AND MAXILLOFACIAL SURGERY BLDG B, SUITE 2300
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-4500
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Fax | 404-778-5879
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22281
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN014704
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License Number State | GA
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