Individual
DR. PRISCILLA CLINTON ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202
(708) 602-0017
Mailing address
1616 E 56TH ST UNIT 401, CHICAGO, IL 60637-2705
(708) 602-0017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019031077
IL
1223G0001X
General Practice Dentistry
12013039A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
03/09/2023
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