Provider Demographics
NPI:1992021448
Name:ADAMS, LAURA (RDHBS)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RDHBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 FORESIDE RD APT D
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-5161
Mailing Address - Country:US
Mailing Address - Phone:207-729-4871
Mailing Address - Fax:
Practice Address - Street 1:168 FORESIDE RD APT D
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-5161
Practice Address - Country:US
Practice Address - Phone:207-729-4871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH3604124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist