Provider Demographics
NPI:1376876896
Name:ADAMS, VERNON JAMES JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:VERNON
Middle Name:JAMES
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:750 WELCH RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1507
Mailing Address - Country:US
Mailing Address - Phone:650-321-6448
Mailing Address - Fax:650-321-5277
Practice Address - Street 1:750 WELCH RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1507
Practice Address - Country:US
Practice Address - Phone:650-321-6448
Practice Address - Fax:650-321-5277
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA26575122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist