Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 25361 | TX |
NPI | 1053631937 |
---|---|
Provider Name | Dr. Adam M Preece |
First Address | Sherman, TX 75090-1726 |
Second Address | Sherman, TX 75090-1726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 02/06/2010 |