Individual provider · Type 1 NPI
Charles G. Abraham, DDS
Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN
Practice location
550 University Blvd # UH3195
Indianapolis, IN 46202
Fax (317) 274-8300
Mailing address
322 Dental Science Bldg S
Iowa City, IA 52242-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 09397 (IA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | LDR180202 (IN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1003336249
Charles G. Abraham, DDS's National Provider Identifier is 1003336249, issued on Jun 20, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 3, 2018.