Provider Demographics
NPI:1457469934
Name:ADAMS, WILLIAM CLAYBROOKE (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CLAYBROOKE
Last Name:ADAMS
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 1:8835 US HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-0161
Mailing Address - Country:US
Mailing Address - Phone:256-878-2380
Mailing Address - Fax:256-878-2415
Practice Address - Street 1:8835 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-0161
Practice Address - Country:US
Practice Address - Phone:256-878-2380
Practice Address - Fax:256-878-2415
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00028341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51090022OtherBLUECROSSBLUESHIELD OF AL