| Phil Adams Dmd | |
|
260 Walnut St Centreville AL 35042-2332 | |
| (205) 926-4697 | |
| (205) 926-4684 |
| Full Name | Phil Adams Dmd |
|---|---|
| Speciality | Dentist |
| Location | 260 Walnut St, Centreville, Alabama |
| Authorized Official Name and Position | Phil Adams (OWNER) |
| Authorized Official Contact | 2059264697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phil Adams Dmd 260 Walnut St Centreville AL 35042-2332 Ph: (205) 926-4697 | Phil Adams Dmd 260 Walnut St Centreville AL 35042-2332 Ph: (205) 926-4697 |
| NPI Number | 1124367529 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124367529 | NPI | - | NPPES |
| 009986250 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3209 (Alabama) | Primary |
Cahaba Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Pierson Ave, Centreville, AL 35042 Phone: 205-926-4404 |