Provider Demographics
NPI:1568483642
Name:PETER J. ADAMS DDS
Entity Type:Organization
Organization Name:PETER J. ADAMS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CIELO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:CDA
Authorized Official - Phone:757-498-6420
Mailing Address - Street 1:4392 HOLLAND RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1151
Mailing Address - Country:US
Mailing Address - Phone:757-498-6420
Mailing Address - Fax:757-498-0982
Practice Address - Street 1:4392 HOLLAND RD
Practice Address - Street 2:SUITE 108
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1151
Practice Address - Country:US
Practice Address - Phone:757-498-6420
Practice Address - Fax:757-498-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010070501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty