Individual
DR. MARC BRUCE ABRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
456 N NEW BALLAS RD, SUITE 249, CREVE COEUR, MO 63141-6831
(314) 569-2201
(314) 569-2320
Mailing address
456 N NEW BALLAS RD, SUITE 249, CREVE COEUR, MO 63141-6831
(314) 569-2201
(314) 569-2320
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11777
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111519
CIGNA HMO
MO
01
—
29075
BCBS
MO
01
—
T80996
MEDICARE ID- TYPE UNSPECIFIED DR ABRAMS
MO
Enumeration date
12/28/2006
Last updated
08/13/2008
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