Organization Name: | CALLY L. ADAMS, DDS, LLC |
NPI Number: | 1366726531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CALLY L ADAMS (PEDIATRIC DENTIST) |
Mailing Address: | 1325 S Kihei Rd Suite 108 Kihei |
State: | HI US |
Postal Code: | 967538179 |
Phone Number: | 8088754808 |
Fax Number: | 8088754841 |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DT2289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |