Jeffrey David Adams, DMD
Individual provider Active NPI Dentist · Bowling Green, KY
NPI 1609969831 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609969831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4547 (KY)
- Practice address
- 1146 Kenton St
Bowling Green, KY 42101 - Phone
- (270) 782-9689
- NPI assigned
- Oct 2, 2006
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4547 | KY | Yes |
Addresses
Primary practice location
1146 Kenton St
Bowling Green, KY 42101
Mailing address
1146 Kenton St
Bowling Green, KY 42101
Phone (270) 782-9689
Other providers in Bowling Green, KY
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.