Provider Demographics
NPI:1083896518
Name:ADAMS, PAUL J (DMD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:252 BAILIWICK DR
Mailing Address - Street 2:SUITE 50
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2422
Mailing Address - Country:US
Mailing Address - Phone:215-489-8600
Mailing Address - Fax:215-489-0271
Practice Address - Street 1:252 BAILIWICK DR
Practice Address - Street 2:SUITE 50
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2422
Practice Address - Country:US
Practice Address - Phone:215-489-8600
Practice Address - Fax:215-489-0271
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS028326L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics