Phillip Donald Abramson
Individual provider Active NPI Dentist · Colorado Springs, CO
NPI 1316628969 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1316628969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN.00205716 (CO)
- Practice address
- 3208 N Academy Blvd Ste 140
Colorado Springs, CO 80917-5111 - Phone
- (719) 301-5300
- NPI assigned
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205716 | CO | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00205716 | CO | Yes |
Addresses
Primary practice location
3208 N Academy Blvd Ste 140
Colorado Springs, CO 80917-5111
Mailing address
1419 Grand Overlook St
Colorado Springs, CO 80910-4492
Phone (302) 632-2883
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.