MEDICARE: DR. ADAM CULVER 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	1223G0001X	General Practice Dentistry	D009465	AZ

General Provider Information

NPI Number	:	1447601505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM CULVER D.M.D

Provider Business Mailing Address
First Line	:	13821 N 35TH DR STE 2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5541
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12020 N 35TH AVE STE 112
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-3213
Country	:	US
Telephone Number	:	602-547-9007
Fax Number	:

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

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	07/16/2020

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