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Contact Information

ROBERT M ABRAHAM, DDS
1909 MISSION 66
VICKSBURG, MS39180-3711
 Phone: 601-638-9111
 Fax: 601-638-0013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ROBERT M ABRAHAM · (Male)

NPI # 1851603260
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/14/2010
Last updated 07/14/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 1513-72
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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