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General NPI Number Information
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NPI Number | 1609305481
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Entity Type | Organization
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Legal Business Name | MARK F. ADAMS, DMD, P.C.
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3865 MEXICO RD
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3042
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Country | US
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Telephone | 636-447-4630
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Fax |
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Provider Business Mailing Address
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Address Line | 3865 MEXICO RD
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3042
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Country | US
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Telephone | 636-447-4630
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MARK F ADAMS
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Credential | DMD
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Telephone | 636-447-4630
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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 | 2008003837
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License Number State | MO
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