Provider Demographics
NPI:1326004441
Name:ABRAMOWITZ, JEFREY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFREY
Middle Name:A
Last Name:ABRAMOWITZ
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 1:3013 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-3444
Mailing Address - Country:US
Mailing Address - Phone:928-774-5266
Mailing Address - Fax:928-774-5845
Practice Address - Street 1:3013 N WEST ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-3444
Practice Address - Country:US
Practice Address - Phone:928-774-5266
Practice Address - Fax:928-774-5845
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2368122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist