Provider Demographics
NPI:1013032820
Name:MAYA ADKINS, ANA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:M
Last Name:MAYA ADKINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BACON AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2908
Mailing Address - Country:US
Mailing Address - Phone:757-229-3099
Mailing Address - Fax:757-220-3243
Practice Address - Street 1:106 BACON AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2908
Practice Address - Country:US
Practice Address - Phone:757-229-3099
Practice Address - Fax:757-220-3243
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA03641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice