Individual
DR. TABATHA MANN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 OXFORD DR, GEORGETOWN, KY 40324-9266
(502) 863-0880
(502) 867-7363
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7216
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60072162
—
KY
Enumeration date
01/30/2007
Last updated
03/28/2016
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