NPI 1083285506 · live from the CMS NPI Registry
Jeremy Adams, DMD
Dentist, General Practice in Orem, UT. National Provider Identifier 1083285506, active.
NPI record
| NPI | 1083285506 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1802 N State St, Orem, UT 84057 |
| Practice phone | 801-224-0320 |
| Mailing address | 1703 Meadowcliff Dr, Wichita Falls, TX 76302 |
| Enumerated | July 6, 2021 |
| Last updated | October 14, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 37378 (TX) |
| Dentist, General Practice primary | 1223G0001X | 12740510-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.