Provider Demographics
NPI:1750311965
Name:FAY, ANN ADAMS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:ADAMS
Last Name:FAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6333 LONG ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-2559
Mailing Address - Country:US
Mailing Address - Phone:913-268-9300
Mailing Address - Fax:913-268-4202
Practice Address - Street 1:6333 LONG ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-2559
Practice Address - Country:US
Practice Address - Phone:913-268-9300
Practice Address - Fax:913-268-4202
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS601791223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics