Boris Adamovich, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS045572 Issued in PA

Practice address

801 Ostrum St
Bethlehem, PA 18015-1000

Phone

(484) 526-6643

Fax

(484) 526-4658

NPI assigned

May 11, 2020

Last updated

May 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1700408929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCENIC LN",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102318",
            "telephone_number": "347-419-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6643",
            "fax_number": "484-526-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOVICH",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS045572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Anne Ackerman, BA
• Vesta Marie Ackernecht
• Rachel Mae Ackley, M.S. CCC-SLP
• Samuel D Acquah, MD
• Brian Acunto, DO
• Kimberly Marshall Adams, LCSW
• Kristen Adams
• Nancy A. Adams, CRNA
• Patrick F Adams Jr., DDS
• Susan Elizabeth Adams, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.