Adams, Jill A
Adams, Jill A is an individual health care provider with primary practice located at 4379 Ridgewood Center Dr Ste 102, Woodbridge VA 22192-8323. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Adams, Jill A can be contacted via phone (703) 680-7950.Contact Information
Primary practice address
4379 Ridgewood Center Dr Ste 102
Woodbridge VA 22192-8323
Phone: (703) 680-7950
Fax: (703) 680-7953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010250A | Indiana |
| Dental Providers / Dentist | 122300000X | 401412281 | Virginia |
Profile Details
| NPI number | 1386745644 |
|---|---|
| LBN Legal business name | Adams, Jill A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | May 29th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386745644 | NPPES |
| Idaho | Other | 12010250A | STATE LICENSE |
| Idaho | MEDICAID | 200327070 | STATE LICENSE |
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