Healthcare Provider Details

I. General information

NPI: 1538577028
Provider Name (Legal Business Name): KEVIN ADAMS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 DIPLOMACY DR
ANCHORAGE AK
99508-5910
US

IV. Provider business mailing address

2350 CLEO AVE
ANCHORAGE AK
99516-1959
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-2000
  • Fax:
Mailing address:
  • Phone: 808-640-9076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number235673
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDT-2511
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: