Provider Demographics
NPI:1962934992
Name:ABRAMSON, HEATHER FARONE (DDS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:FARONE
Last Name:ABRAMSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 GLENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3908
Mailing Address - Country:US
Mailing Address - Phone:585-738-3218
Mailing Address - Fax:
Practice Address - Street 1:22 BATTERY ST STE 910
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-5523
Practice Address - Country:US
Practice Address - Phone:415-982-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103048122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist