1609171339 NPI number — PROSTHODONTIC DENTISTRY OF S FL

Table of content: BARBARA J. ADAMS M.D. (NPI 1912042110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609171339 NPI number — PROSTHODONTIC DENTISTRY OF S FL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROSTHODONTIC DENTISTRY OF S FL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609171339
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2601 S BAYSHORE DR
Provider Second Line Business Mailing Address:
SUITE 760
Provider Business Mailing Address City Name:
COCONUT GROVE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33133-5417
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-857-0990
Provider Business Mailing Address Fax Number:
305-857-9180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2601 S BAYSHORE DR
Provider Second Line Business Practice Location Address:
SUITE 760
Provider Business Practice Location Address City Name:
COCONUT GROVE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33133-5417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-857-0990
Provider Business Practice Location Address Fax Number:
305-857-9180
Provider Enumeration Date:
01/11/2011

Additional Information

Authorized Official

Authorized Official Last Name:
FAINE
Authorized Official First Name:
IVONNE
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
305-857-0990

Provider Taxonomy Codes

  • Taxonomy code: 1223P0700X , with the licence number:  DN13965 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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