Trenton Guyer Adams, DMD
Individual provider Active NPI Dentist · Fort Leavenworth, KS
NPI 1104373612 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1104373612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS106114 (CA)
- Practice address
- 520 Pope Ave
Fort Leavenworth, KS 66027-2332 - Phone
- (913) 684-5001
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS106114 | CA | MD | Dentist |
| DE60670424 | WA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS106114 | CA | Yes |
| Dentist | 122300000X | DE60670424 | WA |
Addresses
Primary practice location
520 Pope Ave
Fort Leavenworth, KS 66027-2332
Mailing address
520 Pope Ave
Fort Leavenworth, KS 66027-2332
Other providers in Fort Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.