Healthcare Provider Details

I. General information

NPI: 1669813366
Provider Name (Legal Business Name): FRANCES ADAMS RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 KERCHEVAL ST
DETROIT MI
48214-2439
US

IV. Provider business mailing address

7900 KERCHEVAL ST
DETROIT MI
48214-2439
US

V. Phone/Fax

Practice location:
  • Phone: 313-921-5500
  • Fax: 313-921-5530
Mailing address:
  • Phone: 313-921-5500
  • Fax: 313-921-5530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number2902008285
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: