Provider Demographics
NPI:1528318714
Name:ADAMI, MARJAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARJAN
Middle Name:
Last Name:ADAMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 732
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4624
Mailing Address - Country:US
Mailing Address - Phone:405-570-3043
Mailing Address - Fax:
Practice Address - Street 1:2200 WOODLAND OAKS DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-5319
Practice Address - Country:US
Practice Address - Phone:405-570-3043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283271223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics