Individual
AMY R ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HYGIENIST
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 898-1700
(314) 814-8542
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 898-1700
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2004013584
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004013584
LICENSE
MO
Enumeration date
10/23/2017
Last updated
06/16/2018
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