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General NPI Number Information
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NPI Number | 1407171770
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Entity Type | Organization
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Legal Business Name | TIMOTHY C. ADAMS DDS LLC
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 3021 E 98TH ST STE 220
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City | INDIANAPOLIS
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State | IN
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Zip | 46280-1964
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Country | US
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Telephone | 317-580-9222
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Fax |
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Provider Business Mailing Address
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Address Line | 3021 E 98TH ST STE 220
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City | INDIANAPOLIS
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State | IN
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Zip | 46280-1964
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Country | US
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Telephone | 317-580-9222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY C. ADAMS
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Credential |
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Telephone | 317-580-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12008293A
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License Number State | IN
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