Provider Demographics
NPI:1952945982
Name:ADAMS & TONEY DDS PLLC
Entity Type:Organization
Organization Name:ADAMS & TONEY DDS PLLC
Other - Org Name:BROOKLAND DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:870-993-1900
Mailing Address - Street 1:8377 HWY 49 N
Mailing Address - Street 2:
Mailing Address - City:BROOKLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72417-8006
Mailing Address - Country:US
Mailing Address - Phone:870-933-1900
Mailing Address - Fax:870-933-8383
Practice Address - Street 1:8377 HWY 49 N
Practice Address - Street 2:
Practice Address - City:BROOKLAND
Practice Address - State:AR
Practice Address - Zip Code:72417-8006
Practice Address - Country:US
Practice Address - Phone:870-933-1900
Practice Address - Fax:870-933-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-02
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR175784608Medicaid