Healthcare Provider Details

I. General information

NPI: 1811876618
Provider Name (Legal Business Name): JUSTIN ADAMS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 LILLINGTON HWY
SPRING LAKE NC
28390-2269
US

IV. Provider business mailing address

620 LILLINGTON HWY
SPRING LAKE NC
28390-2269
US

V. Phone/Fax

Practice location:
  • Phone: 910-212-6116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14381
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: