Ryan Adams
Individual provider Active NPI General Practice Dentistry · Watkinsville, GA
NPI 1154948792 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1154948792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN016083 (GA)
- Practice address
- 1285 Virgil Langford Rd
Watkinsville, GA 30677-7209 - Phone
- (706) 521-0352
- NPI assigned
- Jun 30, 2020
- 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 |
|---|---|---|---|
| DN016083 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN016083 | GA | Yes |
Addresses
Primary practice location
1285 Virgil Langford Rd
Watkinsville, GA 30677-7209
Mailing address
1748 Turtle Pond Dr
Watkinsville, GA 30677-4178
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All providers in Watkinsville, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. 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.