Provider Demographics
NPI:1740982917
Name:ADAMS, ANNA MARIE (IPDH)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:IPDH
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:MARDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:WISCASSET
Mailing Address - State:ME
Mailing Address - Zip Code:04578-0253
Mailing Address - Country:US
Mailing Address - Phone:207-386-6600
Mailing Address - Fax:207-850-2260
Practice Address - Street 1:93 CHURCHILL ST
Practice Address - Street 2:
Practice Address - City:WISCASSET
Practice Address - State:ME
Practice Address - Zip Code:04578-4101
Practice Address - Country:US
Practice Address - Phone:207-386-6600
Practice Address - Fax:207-850-2260
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH3890124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist