Healthcare Provider Details

I. General information

NPI: 1962248708
Provider Name (Legal Business Name): ADAM PAUL MATHER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 6TH AVE N
BESSEMER AL
35020-4849
US

IV. Provider business mailing address

1148 COLINA ST
HOOVER AL
35244-6901
US

V. Phone/Fax

Practice location:
  • Phone: 205-434-2031
  • Fax:
Mailing address:
  • Phone: 757-344-6497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007657-C1
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number111172
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: