Provider Demographics
NPI:1679676092
Name:ADAMS, CHRISTOPHER BARTON
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BARTON
Last Name:ADAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 MARS HILL ROAD NW
Mailing Address - Street 2:BLDG 200 STE 200
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101
Mailing Address - Country:US
Mailing Address - Phone:770-919-0930
Mailing Address - Fax:770-919-2309
Practice Address - Street 1:1685 MARS HILL ROAD NW
Practice Address - Street 2:BLDG 200 STE 200
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101
Practice Address - Country:US
Practice Address - Phone:770-919-0930
Practice Address - Fax:770-919-2309
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10720122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist