Individual
SANDRA L.S. ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8885
(928) 729-8888
Mailing address
PO BOX 649, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504-0649
(928) 729-8885
(928) 729-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2448
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R7756
—
NJ
05
—
415944
—
AZ
Enumeration date
07/05/2006
Last updated
03/18/2021
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