Provider Demographics
NPI:1912014523
Name:ABRAMS, SEAN J (DDS)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:J
Last Name:ABRAMS
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 1:216 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2505
Mailing Address - Country:US
Mailing Address - Phone:615-595-6111
Mailing Address - Fax:615-595-5914
Practice Address - Street 1:216 3RD AVE N
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2505
Practice Address - Country:US
Practice Address - Phone:615-595-6111
Practice Address - Fax:615-595-5914
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI59970151223G0001X
IL0190270141223G0001X
TN112301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice