Edward Alfred Adelman Jr., DDS
Individual provider Active NPI Dentist · Nashville, TN
NPI 1295933760 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295933760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS 003455 (TN)
- Practice address
- 7575 Cockrill Bend Road
Nashville, TN 37209-0000 - Phone
- (615) 350-2700
- Fax
- (615) 350-2788
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161103001698 | TN | Order and Referring Only - Other (Non-Physician) | 4688952153 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 003455 | TN | MD | Dentist |
| 3455 | TN | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS 003455 | TN | Yes |
Addresses
Primary practice location
7575 Cockrill Bend Road
Nashville, TN 37209-0000
Mailing address
6539 Melinda Drive
Nashville, TN 37205
Phone (615) 352-0731
Other providers in Nashville, TN
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.