Individual
DR. ADAM ROBERT EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6255 GRAND RIVER RD, BRIGHTON, MI 48114-5323
(810) 522-4001
(810) 522-4001
Mailing address
6255 GRAND RIVER RD, BRIGHTON, MI 48114-5323
(810) 522-4001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039528
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901600734
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
34748
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS039528
PA
Other
Enumeration date
06/21/2013
Last updated
01/19/2023
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