Adams, Michael J.

Adams, Michael J. is an sole proprietor health care provider with primary practice located at 1412 Fairmount Ave , Philadelphia PA 19130-2908. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Adams, Michael J. can be contacted via phone (215) 235-9600.

Contact Information

Primary practice address
1412 Fairmount Ave Philadelphia PA 19130-2908
Fax: (215) 684-5360
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS029537L Pennsylvania

Profile Details

NPI number 1780891838
LBN Legal business name Adams, Michael J.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Sep 29th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780891838 NPPES
Pennsylvania MEDICAID 0015476440025
Pennsylvania MEDICAID 0015476440026
Pennsylvania MEDICAID 0015476440024
Pennsylvania MEDICAID 0015476440023

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