Individual
JACOB ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1606 23RD AVE, FAIRBANKS, AK 99701-6407
(907) 455-4567
Mailing address
1606 23RD AVE, FAIRBANKS, AK 99701-6407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
198684
AK
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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