MEDICARE: DR. PRESTON CALLAWAY ADAMS D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6015	AL

General Provider Information

NPI Number	:	1003255720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRESTON CALLAWAY ADAMS D.M.D.

Provider Business Mailing Address
First Line	:	15 MONTEVALLO LN
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35213-4435
Country	:	US
Telephone Number	:	334-796-1354
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 BROOKWOOD MEDICAL CTR DR STE 6
Second Line	:
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-6809
Country	:	US
Telephone Number	:	205-326-7444
Fax Number	:	205-637-1933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2013
Last Update Date	:	06/09/2021

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Directions to “ DR. PRESTON CALLAWAY ADAMS D.M.D.” Practice Location

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