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General NPI Number Information
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NPI Number | 1427136605
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Entity Type | Individual
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Provider Name | JEFFREY DAVID ADAMS DMD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 484 NORTH 950 WEST SUITE C THE MEADOWS SHOPPING CENTER
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City | AMERICAN FORK
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State | UT
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Zip | 84003
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Country | US
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Telephone | 801-756-7676
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Fax | 801-756-2171
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Provider Business Mailing Address
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Address Line | 484 NORTH 950 WEST SUITE C THE MEADOWS SHOPPING CENTER
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City | AMERICAN FORK
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State | UT
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Zip | 84003
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Country | US
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Telephone | 801-756-7676
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Fax | 801-756-2171
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 12010316A
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License Number State | IN
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