MEDICARE: MICHAEL ABRAHAM DDS PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1598617300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL ABRAHAM DDS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 676
Second Line	:
City	:	CALHOUN CITY
State	:	MS
Zip	:	38916-0676
Country	:	US
Telephone Number	:	662-258-2461
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 W GAINS AVE
Second Line	:
City	:	CALHOUN CITY
State	:	MS
Zip	:	38916-2301
Country	:	US
Telephone Number	:	662-258-2461
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT M ABRAHAM JR.
Credential	:	DDS
Telephone Number	:	662-258-2461

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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