Provider Demographics
NPI:1437388394
Name:POYFAIR, ADAM LIVINGSTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LIVINGSTON
Last Name:POYFAIR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7402 CUSTER RD W STE 101
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-7944
Mailing Address - Country:US
Mailing Address - Phone:253-471-2222
Mailing Address - Fax:253-476-2647
Practice Address - Street 1:7402 CUSTER RD W STE 101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-7944
Practice Address - Country:US
Practice Address - Phone:253-471-2222
Practice Address - Fax:253-476-2647
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADENT.DE.600961801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice