Provider Demographics
NPI:1275940215
Name:ADAMS, ABIGAIL NORTHCUTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:NORTHCUTT
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 WOODRUFF RD
Mailing Address - Street 2:#10
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6011
Mailing Address - Country:US
Mailing Address - Phone:706-405-3772
Mailing Address - Fax:
Practice Address - Street 1:4519 WOODRUFF RD
Practice Address - Street 2:#10
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6011
Practice Address - Country:US
Practice Address - Phone:706-405-3772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014816122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist