Provider Demographics
NPI:1467782912
Name:ADAM E. NAYLOR D.D.S., PA
Entity Type:Organization
Organization Name:ADAM E. NAYLOR D.D.S., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:NAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-732-2629
Mailing Address - Street 1:3090 E HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-9441
Mailing Address - Country:US
Mailing Address - Phone:704-732-2629
Mailing Address - Fax:704-732-2602
Practice Address - Street 1:3090 E HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-9441
Practice Address - Country:US
Practice Address - Phone:704-732-2629
Practice Address - Fax:704-732-2602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC81751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906431Medicaid