Provider Demographics
NPI:1649764317
Name:BRIAN C ADAMSKI, DMD, LLC
Entity Type:Organization
Organization Name:BRIAN C ADAMSKI, DMD, LLC
Other - Org Name:ENCOMPASS DENTAL STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:ADAMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MPH, MHA
Authorized Official - Phone:419-349-2718
Mailing Address - Street 1:128 COUNTY LINE RD W STE B
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7222
Mailing Address - Country:US
Mailing Address - Phone:419-349-2718
Mailing Address - Fax:
Practice Address - Street 1:128 COUNTY LINE RD W STE B
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7222
Practice Address - Country:US
Practice Address - Phone:419-349-2718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental