Provider Demographics
NPI:1306977897
Name:ABRAMOWITZ, STEPHEN R (DDS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:R
Last Name:ABRAMOWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ALLEYNE ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-2016
Mailing Address - Country:US
Mailing Address - Phone:617-471-0394
Mailing Address - Fax:
Practice Address - Street 1:14 ALLEYNE ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-2016
Practice Address - Country:US
Practice Address - Phone:617-471-0394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA121771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics