Adam Wesley Gadbois, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2020017525 Issued in MO

Practice address

220 Diego Dr
Columbia, MO 65203-4919

Phone

(573) 446-0880

NPI assigned

Sep 10, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherry Hill Dental Associates Inc

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1285623504
  NPD
• Cherry Hill Dental Associates Inc

  • Dentist
  • Jefferson City, MO
  • NPI 1942751086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1184239832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DIEGO DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034919",
            "telephone_number": "573-446-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DIEGO DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034919",
            "telephone_number": "573-446-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADBOIS",
        "first_name": "ADAM",
        "middle_name": "WESLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020017525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Fuller
• Joanne Ruth Fulton, MSW
• Stephen Anthony Fuselli, MD
• Ayman Hamdy Mohamed Gaballah, M.D.
• Mohanad Gabani, MD
• Anthony Michael Gadbois, DDS
• Mary V Gadbois, DDS
• Asean Gaddie
• Jeffrey Gaffney, DDS
• Robert W Gaines Jr., M.D.

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.