# DR. ADAM ROBERT EIDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407295546
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS039528 | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901600734 | MI | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 34748 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS039528 | PA | — |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 01/19/2023