Meena Adami, DDS

Individual provider Active NPI Pediatric Dentistry · Redlands, CA

NPI 1013510932 · NPPES record last updated Nov 21, 2020

Key facts

NPI
1013510932
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
103318 (CA)
Practice address
107 Jennifer St
Redlands, CA 92373-4957
Phone
(501) 766-6479
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 103318 CA Yes

Addresses

Primary practice location

107 Jennifer St
Redlands, CA 92373-4957

Mailing address

107 Jennifer St
Redlands, CA 92373-4957
Phone (501) 766-6479

Other providers in Redlands, CA

All providers in Redlands, CA · Pediatric Dentistry in California

Sources for this page

Verify at the official NPI Registry.