Most Relevant Information
Provider Data
| NPI Number: | 1003336249 |
| Provider Name: | CHARLES G ABRAHAM DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 09397 |
Most Important Dates
| Enumeration Date: | 06/20/2017 |
| Last Updated: | 07/03/2018 |
Provider Practice Location
550 UNIVERSITY BLVD # UH3195
INDIANAPOLIS
IN
46202
Practice Location Phone/Fax
| Phone: | 3172748300 |
| Fax: | 3172748300 |
Provider Mailing Location
322 DENTAL SCIENCE BLDG S
IOWA CITY
IA
522421001
Provider Mailing Phone/Fax
| Phone: | 3193357440 |
| Fax: | 3193357451 |