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Contact Information

KENNETH ADAMS JR, DDS
1759 VIDALIA CT
GREENWOOD, IN46143-6946
 Phone: 317-691-8838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KENNETH ADAMS JR · (Male)

NPI # 1104246750
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/22/2014
Last updated 04/22/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 12007211A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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