MEDICARE: CLAUDETTE ADAMS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	D010976	AZ
2	1223P0221X	Pediatric Dentistry	30864	TX

General Provider Information

NPI Number	:	1619380953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDETTE ADAMS DDS

Provider Business Mailing Address
First Line	:	1831 E APACHE BLVD APT 3005
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-6687
Country	:	US
Telephone Number	:	615-963-3152
Fax Number	:

Provider Business Practice Location Address
First Line	:	4130 BELLAIRE BLVD STE 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1056
Country	:	US
Telephone Number	:	615-479-1443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	07/25/2023

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Directions to “ CLAUDETTE ADAMS DDS” Practice Location

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