Glen R. Abraham, D.D.S.
Individual provider Active NPI General Practice Dentistry · Spring, TX
NPI 1356562482 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1356562482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 18655 (TX)
- Practice address
- 4740 Spring Cypress Rd Ste E
Spring, TX 77379-3447 - Phone
- (281) 374-7100
- Fax
- (281) 374-8425
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|
| 18655 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18655 | TX | Yes |
Addresses
Primary practice location
4740 Spring Cypress Rd Ste E
Spring, TX 77379-3447
Mailing address
4740 Spring Cypress Rd Ste E
Spring, TX 77379-3447
Phone (281) 374-7100
Other providers in Spring, TX
- About Your Smile Consulting and Coaching
- Above All Home Care LLC
- Above Standard Care Corp
- Above the Rim Counseling
- Elsa Abraham
- Linumol Abraham
- Jeaneen Abram
- Dylan Mark Abshire
- Absolute Behavior Advancement
- Absolute Care Ambulance Services LLC.
All providers in Spring, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 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.