Provider Demographics
NPI:1902969207
Name:ADAMS, JAMES ESTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ESTON
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-1148
Mailing Address - Country:US
Mailing Address - Phone:606-564-9033
Mailing Address - Fax:606-564-9035
Practice Address - Street 1:19 E 3RD ST
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-1148
Practice Address - Country:US
Practice Address - Phone:606-564-9033
Practice Address - Fax:606-564-9035
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY53311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0941477Medicaid
KY60053311Medicaid
KY61900015Medicaid