Provider Demographics
NPI:1962931824
Name:ADAMS, ANNA MARGARET (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARGARET
Last Name:ADAMS
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 1:502 13TH AVE E APT 313
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5191
Mailing Address - Country:US
Mailing Address - Phone:919-923-2398
Mailing Address - Fax:
Practice Address - Street 1:10207 CERNY ST STE 106
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4880
Practice Address - Country:US
Practice Address - Phone:919-336-2981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC106271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice