Provider Demographics
NPI:1184718041
Name:ABRAHAM & GILL, DMD, LLC
Entity type:Organization
Organization Name:ABRAHAM & GILL, DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,MDS
Authorized Official - Phone:724-853-1600
Mailing Address - Street 1:2000 TOWER WAY STE 2030
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5786
Mailing Address - Country:US
Mailing Address - Phone:724-853-1600
Mailing Address - Fax:724-853-4012
Practice Address - Street 1:2000 TOWER WAY STE 2030
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5786
Practice Address - Country:US
Practice Address - Phone:724-853-1600
Practice Address - Fax:724-853-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1830236 1830239OtherUCCI PROVIDER #/LOCATION