Provider Demographics
NPI:1013272079
Name:ADAMS, ANN P (RDH)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:P
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:PITCARN
Other - Last Name:CARMEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:411 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-5716
Mailing Address - Country:US
Mailing Address - Phone:415-473-5450
Mailing Address - Fax:415-473-5460
Practice Address - Street 1:411 4TH ST
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-5716
Practice Address - Country:US
Practice Address - Phone:415-473-5450
Practice Address - Fax:415-473-5460
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7043124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist