Robert Waggoner Adams, D.D.S.
Individual provider Active NPI Dentist · Hamilton, MO
NPI 1407908643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407908643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11421 (MO)
- Practice address
- 501 S Hughes St
Hamilton, MO 64644-8230 - Phone
- (816) 583-2750
- Fax
- (816) 583-2934
- NPI assigned
- Jan 17, 2007
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11421 | MO | Yes |
Addresses
Primary practice location
501 S Hughes St
Hamilton, MO 64644-8230
Mailing address
501 S Hughes St
Hamilton, MO 64644-8230
Phone (816) 583-2750
Other providers in Hamilton, MO
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.