MEDICARE: TAYLOR ABRAHAM 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	4777	WV

General Provider Information

NPI Number	:	1720938467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ABRAHAM DDS

Provider Business Mailing Address
First Line	:	106 ROSEWOOD CT
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-9677
Country	:	US
Telephone Number	:	304-677-7699
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 ROSEWOOD CT
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-9677
Country	:	US
Telephone Number	:	304-677-7699
Fax Number	:

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

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

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