Provider Demographics
NPI:1538577028
Name:ADAMS, KEVIN (DDS)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39TH MEDICAL GROUP U.S. AIR FORCE INCIRLIK AIR BASE.
Mailing Address - Street 2:B O X 185
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:09824-5185
Mailing Address - Country:US
Mailing Address - Phone:314-676-6368
Mailing Address - Fax:
Practice Address - Street 1:39TH MEDICAL GROUP U.S. AIR FORCE INCIRLIK AIR BASE
Practice Address - Street 2:B O X 185
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09824
Practice Address - Country:US
Practice Address - Phone:314-676-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-2511122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist