Judy Ann Adan, D.M.D.
Individual provider Active NPI Dentist · Austin, TX
NPI 1881933372 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1881933372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 31619 (TX)
- Practice address
- 8300 N FM 620, BLDG G Ste 100
Austin, TX 78726 - Phone
- (512) 331-0359
- NPI assigned
- Feb 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31619 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64035 | CA | |
| Dentist | 122300000X | 31619 | TX | Yes |
Addresses
Primary practice location
8300 N FM 620, BLDG G Ste 100
Austin, TX 78726
Mailing address
18 Byron PL
Colonia, NJ 07067-1310
Phone (732) 259-5607
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. 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.