Provider Demographics
NPI:1205383965
Name:SCHWAB, ADAM JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JAMES
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 WARD RD BLDG 2-100
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1821
Mailing Address - Country:US
Mailing Address - Phone:303-424-6483
Mailing Address - Fax:
Practice Address - Street 1:5400 WARD RD BLDG 2-100
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1821
Practice Address - Country:US
Practice Address - Phone:303-424-6483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1008281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice