NPI 1003336249

Charles G Abraham, DDS

Practitioner Oral and Maxillofacial Surgery (Dentist) Indianapolis, IN

Practice location

Address: 550 University Blvd # Uh3195, Indianapolis, IN 46202
Phone: (317) 274-8300
Fax: (317) 274-8300
Mailing address: 322 Dental Science Bldg S, Iowa City, IA 52242-1001

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence LDR180202 (IN)

Other Dentist providers in Indiana →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 09397 (IA)

Registry record

NPI: 1003336249
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2017
Record last updated: 3 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.