Provider Demographics
NPI:1881992352
Name:ABRAMS, RAYMOND THOMAS (DMD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:THOMAS
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 DRIFTWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1108
Mailing Address - Country:US
Mailing Address - Phone:856-725-7357
Mailing Address - Fax:
Practice Address - Street 1:21 DRIFTWOOD WAY
Practice Address - Street 2:
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1106
Practice Address - Country:US
Practice Address - Phone:856-725-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038572122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist