| Jody W. Adams Dds Pc | |
|
241 W Forest St Brigham City UT 84302-2022 | |
| (435) 723-6120 | |
| (435) 723-2861 |
| Full Name | Jody W. Adams Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 241 W Forest St, Brigham City, Utah |
| Authorized Official Name and Position | Jody W. Adams (OWNER) |
| Authorized Official Contact | 4357236120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody W. Adams Dds Pc 241 W Forest St Brigham City UT 84302-2022 Ph: (435) 723-6120 | Jody W. Adams Dds Pc 241 W Forest St Brigham City UT 84302-2022 Ph: (435) 723-6120 |
| NPI Number | 1215204573 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215204573 | NPI | - | NPPES |
| 451293689003 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2064 (Utah) | Primary |
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