Provider Demographics
NPI:1871823435
Name:ABRAM FAMILY DENTAL
Entity Type:Organization
Organization Name:ABRAM FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:TOWNSLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-635-1900
Mailing Address - Street 1:1600 E ABRAM ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-7252
Mailing Address - Country:US
Mailing Address - Phone:817-635-1900
Mailing Address - Fax:
Practice Address - Street 1:1600 E ABRAM ST STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-7252
Practice Address - Country:US
Practice Address - Phone:817-635-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23271122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty