Randy Adams, DDS

Individual provider Active NPI Pediatric Dentistry · Richmond, VA

NPI 1689664427 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1689664427
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
4545 (VA)
Practice address
300 W Broad St
Richmond, VA 23220-4219
Phone
(804) 780-2888
Fax
(804) 643-1916
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4545VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Adams and Allen Pediatric Dentistry Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4545 VA Yes

Addresses

Primary practice location

300 W Broad St
Richmond, VA 23220-4219

Mailing address

300 W Broad St
Richmond, VA 23220-4219
Phone (804) 780-2888

Other providers in Richmond, VA

All providers in Richmond, VA · Pediatric Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.