Provider Demographics
NPI:1922267640
Name:ADAMS, ANNE CARTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CARTER
Last Name:ADAMS
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 1:10124 WEST BROAD STREET
Mailing Address - Street 2:SUITE Q
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060
Mailing Address - Country:US
Mailing Address - Phone:804-270-6808
Mailing Address - Fax:804-270-1963
Practice Address - Street 1:10127 WEST BROAD STREET
Practice Address - Street 2:SUITE Q
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060
Practice Address - Country:US
Practice Address - Phone:804-270-6808
Practice Address - Fax:804-270-1963
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005656122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010413419Medicaid