Lincicum, Adam Randal
Lincicum, Adam Randal is an individual health care provider with primary practice located at 228 E Hospital Rd Bldg 320 , Fort Gordon GA 30905-6011. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Lincicum, Adam Randal can be contacted via phone (706) 787-6927.Contact Information
Primary practice address
228 E Hospital Rd Bldg 320
Fort Gordon GA 30905-6011
Phone: (706) 787-6927
Fax: (706) 787-2082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN18736 | Florida |
Profile Details
| NPI number | 1326279274 |
|---|---|
| LBN Legal business name | Lincicum, Adam Randal |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2009 |
| Last updated | Mar 2nd, 2023 - about last year |
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.
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