Robert J Adams, D.D.S. – General Practice Dentistry

Key facts

NPI: 1194861377
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DEN 010926 (MO)
Practice address: 540 W Lasalle St
Springfield, MO 65807-4712
Phone: (417) 887-1220
Fax: (417) 887-0357
NPI assigned: Jan 29, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Fannin, Kaelin, Ropka, Scott & Sponenberg DDS PC General Practice Dentistry · Springfield, MO · NPI 1821076811

NPD (past) GENERAL PRACTICE

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
DEN 010926	MO	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Fannin, Kaelin, Ropka, Scott & Sponenberg DDS PC	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DEN 010926	MO	Yes

Addresses

Primary practice location

540 W Lasalle St
Springfield, MO 65807-4712

Mailing address

540 W Lasalle St
Springfield, MO 65807-4712
Phone (417) 887-1220

Other providers in Springfield, MO

All providers in Springfield, MO · General Practice Dentistry in Missouri

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.

Verify at the official NPI Registry.