Provider Demographics
NPI:1619380953
Name:ADAMS, CLAUDETTE (DDS)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 E APACHE BLVD APT 3005
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-6687
Mailing Address - Country:US
Mailing Address - Phone:615-963-3152
Mailing Address - Fax:
Practice Address - Street 1:4130 BELLAIRE BLVD STE 214
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1056
Practice Address - Country:US
Practice Address - Phone:615-479-1443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0109761223P0221X
TX308641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry