Provider Demographics
NPI:1245417310
Name:JAMES E ADAMS DMD INC
Entity Type:Organization
Organization Name:JAMES E ADAMS DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLECTIONS SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-564-9033
Mailing Address - Street 1:19 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-1148
Mailing Address - Country:US
Mailing Address - Phone:606-564-9033
Mailing Address - Fax:606-564-9035
Practice Address - Street 1:19 E 3RD ST
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-1148
Practice Address - Country:US
Practice Address - Phone:606-564-9033
Practice Address - Fax:606-564-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY53311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60053311Medicaid