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NPI Code Detail

MEDICARE: DR. TIMOTHY JAMES ADAMS

MEDICARE:  DR. TIMOTHY JAMES ADAMS
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
1122300000XDentist7054KS

General Provider Information

NPI Number : 1356432835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY JAMES ADAMS
Provider Business Mailing Address
First Line : 3734 N ARKANSAS AVE
Second Line :
City : WICHITA
State : KS
Zip : 67204-4053
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3734 N ARKANSAS AVE
Second Line :
City : WICHITA
State : KS
Zip : 67204-4053
Country : US
Telephone Number : 316-838-1101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TIMOTHY JAMES ADAMS ” Practice Location

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