Provider Demographics
NPI:1235694548
Name:DANZE, ADAM GEOFFREY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:GEOFFREY
Last Name:DANZE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WINGRAVE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-5934
Mailing Address - Country:US
Mailing Address - Phone:704-975-1735
Mailing Address - Fax:
Practice Address - Street 1:2935 PROVIDENCE RD STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2763
Practice Address - Country:US
Practice Address - Phone:704-397-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11268122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist