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DR. BRADLEY OLIN ADAMS D.M.D.

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1922026111

Individual Registrant:
DR. BRADLEY OLIN ADAMS D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
101 W NORTHSIDE DR BLDG B VALDOSTA, GA 31602-1714 US
Tel: 229-247-6960  Fax: 229-247-8870

Contact information for business:
101 W NORTHSIDE DR BLDG B VALDOSTA, GA 31602-1714 US
Tel: 229-247-6960  Fax: 229-247-8870

Registration Information:
NPI: 1922026111
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
GADN011532

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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