Provider Demographics
NPI:1992788186
Name:ADAMS, PETER J (DDS)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:J
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:502 BUD DRIVE
Mailing Address - Street 2:STE 102
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322
Mailing Address - Country:US
Mailing Address - Phone:757-547-0222
Mailing Address - Fax:757-547-0881
Practice Address - Street 1:502 BUD DRIVE
Practice Address - Street 2:STE 102
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322
Practice Address - Country:US
Practice Address - Phone:757-547-0222
Practice Address - Fax:757-498-0982
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010070501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice