MEDICARE: DR. ROBERT MUSE ADAMS DDS

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	4032	NC

General Provider Information

NPI Number	:	1457357477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MUSE ADAMS DDS

Provider Business Mailing Address
First Line	:	PO BOX 129
Second Line	:
City	:	MARSHALL
State	:	NC
Zip	:	28753-0129
Country	:	US
Telephone Number	:	828-649-2621
Fax Number	:	828-649-3704

Provider Business Practice Location Address
First Line	:	81 NORTH MAIN ST.
Second Line	:
City	:	MARSHALL
State	:	NC
Zip	:	28753
Country	:	US
Telephone Number	:	828-649-2621
Fax Number	:	828-649-3704

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/08/2007

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