Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 12010430A | IN |
NPI | 1154357978 |
---|---|
Provider Name | Benjamin H Adams |
First Address | Indianapolis, IN 46222-7602 |
Second Address | Indianapolis, IN 46222-7602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/07/2007 |