Timothy Alan Adams, D.D.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Clermont, FL
NPI 1891884367 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1891884367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DN18011 (FL)
- Practice address
- 1000 East Ave
Clermont, FL 34711-2534 - Phone
- (352) 242-2100
- Fax
- (352) 242-2030
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314000975 | FL | Order and Referring Only - Oral Surgery |
2062718380 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN18011 | FL | Yes |
Addresses
Primary practice location
1000 East Ave
Clermont, FL 34711-2534
Mailing address
1211 Shorecrest Cir
Clermont, FL 34711-2967
Phone (407) 319-2746
Other providers in Clermont, FL
- Edwin Acosta
- Jason Acosta
- Acupuncture Clermont
- Bailey Marie Adams
- Kyle Adams
- Lauren Aday
- Samyra Addison Boney
- Denise Adegoke
- John C. Adkins
- Kathleen Sue Adler
All providers in Clermont, FL · Orthodontics and Dentofacial Orthopedics Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.