Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DS036086 | PA |
NPI | 1053450619 |
---|---|
Provider Name | Dr. William Andrew Adams |
First Address | Frederick, MD 21702-5800 |
Second Address | Hanover, PA 17331-2406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |