Provider Demographics
NPI:1023185642
Name:ADAMS, ASJA M (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ASJA
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 NW GOLDEN PL
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3940
Mailing Address - Country:US
Mailing Address - Phone:206-789-1898
Mailing Address - Fax:
Practice Address - Street 1:4202 198TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6730
Practice Address - Country:US
Practice Address - Phone:425-775-0651
Practice Address - Fax:425-771-5085
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA53831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice