Provider Demographics
NPI:1407022825
Name:ABRAM M BARNETT DDS PC
Entity Type:Organization
Organization Name:ABRAM M BARNETT DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-638-2033
Mailing Address - Street 1:1950 STREET ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BEWSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020
Mailing Address - Country:US
Mailing Address - Phone:215-638-2033
Mailing Address - Fax:215-638-2331
Practice Address - Street 1:1950 STREET ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:BEWSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020
Practice Address - Country:US
Practice Address - Phone:215-638-2033
Practice Address - Fax:215-638-2331
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABRAM M BARNETT DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADX017178L1223E0200X
PADS029534L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty