Provider Demographics
NPI:1689149122
Name:ADKINS, CAITLAND MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAITLAND
Middle Name:MARIE
Last Name:ADKINS
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:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:RICHWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26261-0488
Mailing Address - Country:US
Mailing Address - Phone:304-846-6341
Mailing Address - Fax:
Practice Address - Street 1:7 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHWOOD
Practice Address - State:WV
Practice Address - Zip Code:26261-1105
Practice Address - Country:US
Practice Address - Phone:304-846-6341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV43631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice