Provider Demographics
NPI:1366508939
Name:DOYLE ADAMS, TERESA LYNNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:LYNNE
Last Name:DOYLE 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 1:4434 CROSS COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6234
Mailing Address - Country:US
Mailing Address - Phone:410-203-0466
Mailing Address - Fax:
Practice Address - Street 1:3201 ROGERS AVE
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4594
Practice Address - Country:US
Practice Address - Phone:443-276-0250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD119391223G0001X
VA73001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice