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NPI Code Detail

MEDICARE: DR. ABRAHAM MATHEW DDS

MEDICARE: DR. ABRAHAM MATHEW DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN30965FL
2122300000XDentist41023TX

General Provider Information

NPI Number : 1194544270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABRAHAM MATHEW DDS
Provider Business Mailing Address
First Line : 6611 ABODE AVE APT 23205
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4712
Country : US
Telephone Number : 813-843-4524
Fax Number :
Provider Business Practice Location Address
First Line : 1311 W BUSCH BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-7709
Country : US
Telephone Number : 813-333-0633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2024
Last Update Date : 01/05/2026

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Directions to “ DR. ABRAHAM MATHEW DDS” Practice Location

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