Provider Demographics
NPI:1851518435
Name:ABRAMSON, JULES ELLIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULES
Middle Name:ELLIS
Last Name:ABRAMSON
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 1:4231 MARKHAM ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3028
Mailing Address - Country:US
Mailing Address - Phone:703-941-1412
Mailing Address - Fax:
Practice Address - Street 1:4231 MARKHAM ST
Practice Address - Street 2:SUITE 214
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3028
Practice Address - Country:US
Practice Address - Phone:703-941-1412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004039122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist