James Michael Abraham, DMD,MDS
Individual provider Active NPI Pediatric Dentistry · Greensburg, PA
NPI 1336233261 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336233261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DS025341L (PA)
- Practice address
- 2000 Tower Way Ste 2030
Greensburg, PA 15601-5786 - Phone
- (724) 853-1600
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DS025341L | PA | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS025341L | PA | Yes |
Addresses
Primary practice location
2000 Tower Way Ste 2030
Greensburg, PA 15601-5786
Mailing address
2000 Tower Way Ste 2030
Greensburg, PA 15601-5786
Phone (724) 853-1600
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All providers in Greensburg, PA · Pediatric Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.