Individual
DR. BRANNICK DON ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1539 W HARVARD AVE, ROSEBURG, OR 97470-2873
(541) 673-5150
Mailing address
1466 SE KANE ST, ROSEBURG, OR 97470-4235
(541) 673-4043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8590
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213541
—
OR
Enumeration date
07/10/2006
Last updated
07/08/2007
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