Michael a. Abraham D.M.D., PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN19695 Issued in FL

Legal business name

MICHAEL A. ABRAHAM D.M.D., PA

Practice address

4719 N Ocean Dr
Lauderdale by the Sea, FL 33308-2914

Phone

(303) 819-6371

NPI assigned

May 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Alexander Abraham, DMD

Title

President

Phone

(303) 819-6371

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1659750925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 N OCEAN DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082914",
            "telephone_number": "303-819-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 N OCEAN DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082914",
            "telephone_number": "303-819-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. ABRAHAM D.M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-819-6371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.