Provider Demographics
NPI:1508001470
Name:ADAMSON, LORI MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:MARIE
Last Name:ADAMSON
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 1:570 BRANDIES CIR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-7687
Mailing Address - Country:US
Mailing Address - Phone:615-896-8181
Mailing Address - Fax:615-896-8848
Practice Address - Street 1:570 BRANDIES CIR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-7687
Practice Address - Country:US
Practice Address - Phone:615-896-8181
Practice Address - Fax:615-896-8848
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN88801223G0001X
AL5718122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist