Provider Demographics
NPI:1073149886
Name:ABRAMSON FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:ABRAMSON FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:231-882-4424
Mailing Address - Street 1:589 BEULAH HWY
Mailing Address - Street 2:
Mailing Address - City:BEULAH
Mailing Address - State:MI
Mailing Address - Zip Code:49617-8708
Mailing Address - Country:US
Mailing Address - Phone:231-882-4424
Mailing Address - Fax:
Practice Address - Street 1:589 BEULAH HWY
Practice Address - Street 2:
Practice Address - City:BEULAH
Practice Address - State:MI
Practice Address - Zip Code:49617-8708
Practice Address - Country:US
Practice Address - Phone:231-882-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABRAMSON FAMILY DENTISTRY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental