Provider Demographics
NPI:1225417975
Name:ADAMS, WILLIAM W (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:W
Last Name:ADAMS
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 1:211 HARLEY ST PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49250
Mailing Address - Country:US
Mailing Address - Phone:517-849-9195
Mailing Address - Fax:517-849-9611
Practice Address - Street 1:211 HARLEY ST
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:MI
Practice Address - Zip Code:49250
Practice Address - Country:US
Practice Address - Phone:517-849-9195
Practice Address - Fax:517-849-9611
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901007406122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist