JONATHAN R ABRAHAM DDS NPI 1316330210

NPI Information

  • NPI: 1316330210
  • Provider Name: JONATHAN R ABRAHAM, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3814 MACCORKLE AVE SE
    CHARLESTON, WV
    ZIP 25304
  • Phone: (304) 925-0322

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NPI Details

JONATHAN R ABRAHAM, DDS is a general practice dentist in Charleston, WV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JONATHAN R ABRAHAM, DDS NPI is 1316330210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3814 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-528
Phone: (304) 925-0322
Fax: (304) 925-2337

The provider's authorized official is Jonathan Robert Abraham .
The authorized official title is Owner Dentist and has the following contact phone number (304) 925-0322.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 3/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice3622WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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