Individual provider · NPI-1

Robert J Adams, D.D.S.

Dentist, General Practice · Springfield, MO

NPI number1194861377
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1194861377
Entity type
Individual (NPI-1)
Name
Robert J Adams
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 29, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDEN 010926MOYes

Practice location

540 W Lasalle St
Springfield, MO 65807-4712

Phone 417-887-1220 · Fax 417-887-0357

Mailing address

540 W Lasalle St
Springfield, MO 65807-4712

Phone 417-887-1220 · Fax 417-887-0357

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