Thomas C Adame, DDS
Individual provider Active NPI General Practice Dentistry · Berkeley, CA
NPI 1174633655 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174633655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 24421 (CA)
- Practice address
- 1653 Solano Ave
Berkeley, CA 94707-2108 - Phone
- (510) 524-1172
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24421 | CA | Yes |
Addresses
Primary practice location
1653 Solano Ave
Berkeley, CA 94707-2108
Mailing address
1653 Solano Ave
Berkeley, CA 94707-2108
Phone (510) 524-1172
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All providers in Berkeley, CA · General Practice Dentistry in California
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.