Provider Demographics
NPI:1225592926
Name:ADAMS CAMERON PARK DENTISTRY
Entity Type:Organization
Organization Name:ADAMS CAMERON PARK DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-677-8181
Mailing Address - Street 1:3421 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8413
Mailing Address - Country:US
Mailing Address - Phone:530-677-8181
Mailing Address - Fax:560-677-8183
Practice Address - Street 1:3421 ROBIN LN
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8413
Practice Address - Country:US
Practice Address - Phone:530-677-8181
Practice Address - Fax:560-677-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-27
Last Update Date:2019-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental