Provider Demographics
NPI:1164643524
Name:HOELLRICH, ABRAHAM JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:JAMES
Last Name:HOELLRICH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 DANIEL BURNHAM SQ
Mailing Address - Street 2:#305
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-2681
Mailing Address - Country:US
Mailing Address - Phone:614-288-4052
Mailing Address - Fax:
Practice Address - Street 1:1220 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3437
Practice Address - Country:US
Practice Address - Phone:614-486-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH216251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice