Adam Joseph Cobb, DMD
Individual provider Active NPI Dentist · Vidalia, GA
NPI 1124947320 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124947320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN124213 (GA)
- Practice address
- 118 Alice Coleman Dr
Vidalia, GA 30474-8860 - Phone
- (478) 237-2638
- NPI assigned
- Jul 13, 2026
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DN124213 | GA | Yes |
Addresses
Primary practice location
118 Alice Coleman Dr
Vidalia, GA 30474-8860
Mailing address
118 Alice Coleman Dr
Vidalia, GA 30474-8860
Phone (478) 237-2638
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.