Individual
DR. BRYAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
1600 SW ARCHER RD # D7-6, BOX 100416, GAINESVILLE, FL 32610-3003
(352) 273-6750
(352) 392-7609
Mailing address
1600 SW ARCHER RD # D7-6, PO BOX 100416, GAINESVILLE, FL 32610-3003
(352) 273-6750
(352) 392-7609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
LL-0097-06
NV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DRP551
FL
208600000X
Surgery Physician
Primary
TRN#15897
FL
Other
Enumeration date
12/27/2006
Last updated
06/21/2011
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