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Contact Information

JONATHAN R ABRAHAM, DDS
3814 MACCORKLE AVE SE
CHARLESTON, WV25304-1528
 Phone: 304-925-0322
 Fax: 304-925-8426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JONATHAN R ABRAHAM · (Male)

NPI Number 1538382270
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/11/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 3622
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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