Elise Friedman Adrian, DMD
Individual provider Active NPI Periodontics · Fort Eustis, VA
NPI 1992745475 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1992745475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 0401008102 (VA)
- Practice address
- 577 Sternberg Ave
HQ Usadentac Credentials Office
Fort Eustis, VA 23604-1526 - Phone
- (757) 314-7944
- Fax
- (757) 314-7942
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401008102 | VA | MD | Periodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401008102 | VA | Yes |
Addresses
Primary practice location
577 Sternberg Ave
HQ Usadentac Credentials Office
Fort Eustis, VA 23604-1526
Mailing address
577 Sternberg Ave
HQ Usadentac Credentials Office
Fort Eustis, VA 23604-1526
Phone (757) 314-7944
Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.