Individual
DR. BRADLEY OLIN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
816 NORTHWOOD PARK DRIVE, VALDOSTA, GA 31602
(229) 247-6960
(229) 247-8870
Mailing address
816 NORTHWOOD PARK DRIVE, VALDOSTA, GA 31602
(229) 247-6960
(229) 247-8870
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11523
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN011532
GA
Other
Enumeration date
07/17/2006
Last updated
08/29/2023
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