NPI 1922026111 · live from the CMS NPI Registry
Bradley Olin Adams, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Valdosta, GA. National Provider Identifier 1922026111, active.
NPI record
| NPI | 1922026111 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 816 Northwood Park Drive, Valdosta, GA 31602 |
| Practice phone | 229-247-6960 |
| Enumerated | July 17, 2006 |
| Last updated | August 29, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN011532 (GA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 11523 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.