Organization
ADAMS FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW R ADAMS D.M.D. (OWNER)
(706) 323-8811
Entity
Organization
Contact information
Practice address
5605 PRINCETON AVE, SUITE B, COLUMBUS, GA 31904-9078
(706) 323-8811
(706) 323-8824
Mailing address
5605 PRINCETON AVE, SUITE B, COLUMBUS, GA 31904-9078
(706) 323-8811
(706) 323-8824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00935811A
—
GA
Enumeration date
12/27/2010
Last updated
12/27/2010
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