Provider Demographics
NPI:1194980391
Name:CHRISTMAN, ADAM B (DDS MSD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:B
Last Name:CHRISTMAN
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 N MERIDIAN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2353
Mailing Address - Country:US
Mailing Address - Phone:317-574-0600
Mailing Address - Fax:
Practice Address - Street 1:8801 N MERIDIAN ST STE 103
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2353
Practice Address - Country:US
Practice Address - Phone:317-574-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011585A122300000X, 1223P0300X
MD15060122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
No122300000XDental ProvidersDentist