Dr. Adam Decota, D.D.S.
Dentist, General Practice in Fenton, MO. Individual provider (NPI-1).
NPI number1669694071
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1669694071
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Decota
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - 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 | 2000158415 | MO | Yes |
Practice location
1391 Smizer Mill RdSuite 104
Fenton, MO 63026-7306
Phone 636-349-2400
Mailing address
1391 Smizez Mill RdSuite 104
Fenton, MO 63026
Phone 636-349-2400
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