| Nicholas V. Adams DMD PC | |
|
400 S West St Bainbridge GA 39819-3914 | |
| (229) 246-2366 | |
| Not Available |
| Full Name | Nicholas V. Adams DMD PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 S West St, Bainbridge, Georgia |
| Authorized Official Name and Position | Nicholas V. Adams (DENTIST) |
| Authorized Official Contact | 2297247300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas V. Adams DMD PC Po Box 470 Blakely GA 39823-0470 Ph: (229) 724-7300 | Nicholas V. Adams DMD PC 400 S West St Bainbridge GA 39819-3914 Ph: (229) 246-2366 |
| NPI Number | 1811579055 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811579055 | NPI | - | NPPES |
| 1336219807 | Medicaid | GA | |
| 1619593613 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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