Provider Demographics
NPI:1689693046
Name:KRATCHMAN, ADAM ROSS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ROSS
Last Name:KRATCHMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1000 E WALNUT ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-5444
Mailing Address - Country:US
Mailing Address - Phone:215-453-5212
Mailing Address - Fax:215-453-9212
Practice Address - Street 1:1000 E WALNUT ST
Practice Address - Street 2:SUITE 301
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-5444
Practice Address - Country:US
Practice Address - Phone:215-453-5212
Practice Address - Fax:215-453-9212
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS031486L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice