Provider Demographics
NPI:1770935876
Name:COTANT, ADAM (DMD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:COTANT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AC DENTISTRY
Mailing Address - Street 2:7350 CAHABA VALLEY RD. SUITE 106
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3577
Mailing Address - Country:US
Mailing Address - Phone:205-533-6799
Mailing Address - Fax:205-588-0874
Practice Address - Street 1:13576 HIGHWAY 43 N
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35475-4410
Practice Address - Country:US
Practice Address - Phone:205-333-3099
Practice Address - Fax:205-333-9191
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL63171223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty