William Marion Adkins, DMD
Individual provider Active NPI Dentist · Starkville, MS
NPI 1124239504 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124239504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 225386 (MS)
- Practice address
- 500 Russell St
Suite 36
Starkville, MS 39759 - Phone
- (662) 323-0217
- NPI assigned
- May 25, 2007
- 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 |
|---|---|---|---|
| 225386 | MS | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 225386 | MS | Yes |
Addresses
Primary practice location
500 Russell St
Suite 36
Starkville, MS 39759
Mailing address
PO Box 388
Starkville, MS 39759
Phone (662) 323-0217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00060334 | Medicaid | MS |
Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.