MEDICARE: DR. JEFREY A ABRAMOWITZ 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
1	122300000X	Dentist	2368	AZ

General Provider Information

NPI Number	:	1326004441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFREY A ABRAMOWITZ DDS

Provider Business Mailing Address
First Line	:	3013 N WEST ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-3444
Country	:	US
Telephone Number	:	928-774-5266
Fax Number	:	928-774-5845

Provider Business Practice Location Address
First Line	:	3013 N WEST ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-3444
Country	:	US
Telephone Number	:	928-774-5266
Fax Number	:	928-774-5845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	07/08/2007

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