Dr. Priscilla Clinton Adams, DDS
Dentist, General Practice in Indianapolis, IN. Individual provider (NPI-1).
NPI number1396107397
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1396107397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Priscilla Clinton Adams
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2016
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019031077 | IL | Yes |
| 1223G0001X | Dentist, General Practice | 12013039A | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1121 W Michigan StIndianapolis, IN 46202
Phone 708-602-0017
Mailing address
1616 E 56th St Unit 401Chicago, IL 60637-2705
Phone 708-602-0017
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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