MEDICARE: DR. HOWARD ABRAHAMS 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	1223G0001X	General Practice Dentistry	9308	GA

General Provider Information

NPI Number	:	1598786907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD ABRAHAMS DDS

Provider Business Mailing Address
First Line	:	5685 LAKE PLACID DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1803
Country	:	US
Telephone Number	:	404-843-1999
Fax Number	:	404-252-3880

Provider Business Practice Location Address
First Line	:	5685 LAKE PLACID DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1803
Country	:	US
Telephone Number	:	404-843-1999
Fax Number	:	404-252-3880

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

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