Healthcare Provider Details

I. General information

NPI: 1598262339
Provider Name (Legal Business Name): ADAM MICHAEL BIWER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13802 W CAMINO DEL SOL STE 101
SUN CITY WEST AZ
85375-4486
US

IV. Provider business mailing address

13802 W CAMINO DEL SOL STE 101
SUN CITY WEST AZ
85375-4486
US

V. Phone/Fax

Practice location:
  • Phone: 623-583-0151
  • Fax:
Mailing address:
  • Phone: 623-583-0151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD010084
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: