Healthcare Provider Details

I. General information

NPI: 1578329652
Provider Name (Legal Business Name): EMILY ADELMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N 12TH ST FL 4
RICHMOND VA
23298-5064
US

IV. Provider business mailing address

5422 GILLIES CREEK MEWS
HENRICO VA
23231-3112
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-9363
  • Fax:
Mailing address:
  • Phone: 360-790-0796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401419931
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE61577761
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: