Individual
ANTHONY D ADAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
24700 CENTER RIDGE RD., 316, WESTLAKE, OH 44145
(440) 835-3331
Mailing address
24700 CENTER RIDGE RD, 316, WESTLAKE, OH 44145-5636
(440) 835-3331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-017291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000447
—
OH
05
—
0638519
—
OH
01
—
34550
CARE SOURCE
OH
Enumeration date
01/16/2007
Last updated
09/01/2015
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